Search → JUSTIN KEALOHA DORMAN
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
JUSTIN KEALOHA DORMAN
PRODUCER NON-RESIDENT
License Number:
PRN365379
Status:
First Licensure:
10/14/2020
Cancel Date:
None
Mailing:
CHARLESTON, SC 29403
Phone:
+1 (843) 972-4418
Fax:
+1 (843) 651-6040
Email:
licensing@burns-wilcox.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 10/14/2020 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| BURNS & WILCOX LTD |
03/20/2023 | AGN81523 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| EMPLOYERS ASSURANCE COMPANY |
10/20/2020 | PCF285638 | 03/21/2024 | |
| EMPLOYERS COMPENSATION INSURANCE COMPANY |
10/20/2020 | PCF285639 | 03/21/2024 | |
| EMPLOYERS PREFERRED INSURANCE COMPANY |
10/20/2020 | PCF285637 | 03/21/2024 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 10/14/2020 | Active | |
| PROPERTY | 10/14/2020 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
17770102
| Address | Type |
|---|---|
| CHARLESTON, SC 29403 |
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: 01/19/2026 08:15:32 PM
