black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GLENDON DALE NELSON JR

PRODUCER NON-RESIDENT

License Number:
PRN195344
Status:
First Licensure:
10/04/2011
Cancel Date:
None

Mailing:
GILBERT, AZ 85234
Phone:
+1 (480) 294-5252
Fax:
+1 (480) 294-5252
Email:
gnelsonjr@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/04/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
M&O AGENCIES INC
05/12/2015 AGN85333 04/09/2020

Employer

Name Issue Date License Number Expiration Date Cancel Date
FEDERAL INSURANCE COMPANY
09/10/2015 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
01/27/2016 PCF445 05/21/2020
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
01/27/2016 PCF37337 11/12/2018
FOREMOST SIGNATURE INSURANCE COMPANY
01/27/2016 PCF176307 11/12/2018
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
07/28/2017 PCF326 04/30/2020
GREAT NORTHERN INSURANCE COMPANY
09/10/2015 PCF455
PACIFIC INDEMNITY COMPANY
03/22/2016 PCF547

Authority

Description Issue Date Termination Date Status
CASUALTY 10/04/2011 Active
PROPERTY 10/04/2011 Active
SURPLUS LINES 05/12/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
12654039

Other Addresses

Address Type
GILBERT, AZ 85234
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/28/2025 09:34:16 AM