black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN J. WILLIS

PRODUCER NON-RESIDENT

License Number:
PRN324812
Status:
First Licensure:
01/23/2019
Cancel Date:
None

Mailing:
ROSWELL, GA 30076
Phone:
+1 (770) 462-2455
Fax:
+1 (317) 554-4369
Email:
jwillis@pureprograms.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/23/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
PRIVILEGE UNDERWRITERS INC
01/17/2023 AGN126161
PURE PROGRAMS LLC
02/02/2019 AGN325385 04/19/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
11/07/2019 PCF212805

Authority

Description Issue Date Termination Date Status
CASUALTY 01/23/2019 Active
PROPERTY 01/23/2019 Active
SURPLUS LINES 01/23/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17934862

Other Addresses

Address Type
ROSWELL, GA 30076
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: 05/20/2025 11:46:33 AM