black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HALEY DAWN WILLIS

PRODUCER NON-RESIDENT

License Number:
PRN351790
Status:
First Licensure:
03/26/2020
Cancel Date:
None

Mailing:
ROCHESTER, NY 14625
Phone:
+1 (888) 289-2939
Fax:
+1 (888) 289-2988
Email:
licensing@apintego.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/26/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
AP INTEGO INSURANCE GROUP LLC
04/26/2022 AGN104285
PAYCHEX INSURANCE AGENCY INC
03/26/2020 AGN56888 04/26/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL SPECIALTY INSURANCE COMPANY
06/06/2022 PCF94585
STATE NATIONAL INSURANCE COMPANY INC.
06/06/2022 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 04/26/2022 Active
HEALTH 03/26/2020 Active
LIFE 03/26/2020 Active
PROPERTY 04/26/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19451657

Other Addresses

Address Type
1601 TRAPELO RD STE 280
WALTHAM, MA 02451-7341
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: 10/19/2025 07:23:08 PM