black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

WENDY LORRAINE MARTIN

PRODUCER NON-RESIDENT

License Number:
PRN433187
Status:
First Licensure:
10/06/2022
Cancel Date:
None

Mailing:
LANDISVILLE, PA 17538
Phone:
+1 (717) 371-1868
Fax:
+1 (717) 371-1868
Email:
wmartin@athleticsicc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/06/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
AICC, LLC
01/02/2023 AGN426224

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT AMERICAN INSURANCE COMPANY
01/13/2023 PCF764
NATIONAL SPECIALTY INSURANCE COMPANY
03/17/2023 PCF94585
OHIO SECURITY INSURANCE COMPANY
08/09/2024 PCF200581
STATE NATIONAL INSURANCE COMPANY INC.
03/17/2023 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 10/06/2022 Active
HEALTH 12/31/2022 Active
PROPERTY 10/06/2022 Active

Responsible For

Name License Number
AICC, LLC AGN426224

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20367721

Other Addresses

Address Type
1760 MARKET ST STE 404
PHILADELPHIA, PA 19103-4127
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: 05/14/2025 07:28:05 AM