black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TONYA KIZZIAH O DELL

PRODUCER NON-RESIDENT

License Number:
PRN515382
Status:
First Licensure:
05/13/2025
Cancel Date:
None

Mailing:
PEACHTREE CORNERS, GA 30092
Phone:
+1 (800) 319-1390
Fax:
+1 (850) 254-1903
Email:
licensing@pattoncompliance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/13/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
EPREMIUM INS AGENCY LLC
05/13/2025 AGN206213

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 05/13/2025 Active
PROPERTY 05/13/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8118760

Other Addresses

Address Type
4650 DUKE DR STE 300
MASON, OH 45040-8142
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: 03/06/2026 06:30:37 AM