black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSE FRANCIS SAMPLE

PRODUCER NON-RESIDENT

License Number:
PRN420754
Status:
First Licensure:
06/10/2022
Cancel Date:
None

Mailing:
GLENDALE, AZ 85310
Phone:
+1 (877) 738-7237
Fax:
+1 (866) 777-1434
Email:
licensing@petsbest.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/10/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
CHEWY INSURANCE SERVICES, LLC
06/10/2022 AGN408392

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PET INSURANCE COMPANY
07/28/2022 PCF204502 10/09/2023
AMERICAN PET INSURANCE COMPANY
01/27/2025 PCF204502
INDEPENDENCE AMERICAN INSURANCE COMPANY
01/23/2025 PCF86149

Authority

Description Issue Date Termination Date Status
CASUALTY 06/10/2022 Active
PROPERTY 06/10/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20152763

Other Addresses

Address Type
GLENDALE, AZ 85310
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: 05/14/2025 04:20:59 AM