black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEBORAH D. DAVIS

PRODUCER NON-RESIDENT

License Number:
PRN396517
Status:
First Licensure:
09/21/2021
Cancel Date:
None

Mailing:
CONYERS, GA 30013
Phone:
+1 (678) 772-7671
Fax:
+1 (678) 772-7671
Email:
lexeyeone@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/21/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS TOWERS WATSON MIDWEST INC
10/11/2022 AGN36667 12/02/2022
WILLIS TOWERS WATSON MIDWEST INC
10/04/2023 AGN36667 12/28/2023
WILLIS TOWERS WATSON MIDWEST INC
09/11/2024 AGN36667 10/28/2024
WILLIS TOWERS WATSON MIDWEST INC
11/04/2025 AGN36667

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/30/2021 LHF250 07/25/2024
RELIASTAR LIFE INSURANCE COMPANY
11/04/2021 LHF22
STARMOUNT LIFE INSURANCE COMPANY
09/30/2021 LHD131525 07/25/2024
UNUM INSURANCE COMPANY
09/30/2021 LHD241 07/25/2024
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/30/2021 LHD145 07/25/2024

Authority

Description Issue Date Termination Date Status
HEALTH 09/21/2021 Active
LIFE 09/21/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7834710

Other Addresses

Address Type
3011 GARLAND WAY
CONYERS, GA 30094-7301
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: 12/02/2025 07:08:28 PM