black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NOTARY PUBLIC OF AMERICA

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN190033
Status:
First Licensure:
05/14/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
5524 APALACHEE PKWY
TALLAHASSEE, FL 32311-7604
Mailing:
PO BOX 7457
TALLAHASSEE, FL 32314-7457
Phone:
+1 (850) 656-3028
Fax:
+1 (850) 878-3797
Email:
egilchrist@npuonline.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/14/2011 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
WESTERN SURETY COMPANY
06/07/2011 PCF96

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JACK BREEN DIESTELHORST
05/14/2011 PRN38809

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JACK BREEN DIESTELHORST PRN38809

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16189777

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: 03/04/2026 03:17:49 PM