black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB ALAN WALLECK

PRODUCER NON-RESIDENT

License Number:
PRN451331
Status:
First Licensure:
05/10/2023
Cancel Date:
None

Mailing:
POPLAR GROVE, IL 61065
Phone:
+1 (815) 980-4381
Fax:
+1 (866) 445-4639
Email:
jacob.walleck@pethealthinc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/10/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
PTZ INS AGENCY LTD
06/06/2023 AGN161448

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
09/11/2023 PCF86149
NORTH RIVER INSURANCE COMPANY
06/26/2023 PCF698
UNITED STATES FIRE INSURANCE COMPANY
07/14/2023 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 05/10/2023 Active
PROPERTY 05/10/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20692735

Other Addresses

Address Type
POPLAR GROVE, IL 61065
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: 05/15/2025 01:44:46 PM