black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KEITH G. NILSEN

PRODUCER NON-RESIDENT

License Number:
PRN205103
Status:
First Licensure:
07/06/2012
Cancel Date:
None

Mailing:
WAYNE, PA 19087
Phone:
+1 (302) 740-5111
Fax:
+1 (610) 388-6363
Email:
nilsenfamily@comcast.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/06/2012

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
STANDARD INSURANCE COMPANY
08/03/2012 LHF991

Authority

Description Issue Date Termination Date Status
LIFE 07/06/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2502937

Other Addresses

Address Type
161 WASHINGTON ST STE 1175
CONSHOHOCKEN, PA 19428-2083
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: 02/16/2026 08:24:59 AM