Search → INS SPECIALIST GROUP
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
INS SPECIALIST GROUP
NON-RESIDENT PRODUCER AGENCY
License Number:
AGN264602
Status:
First Licensure:
02/23/2016
Cancel Date:
None
Renewal Date:
04/01/2027
Street Location:
1100 STONEHENGE CIR
AVON, IN 46123-6799
AVON, IN 46123-6799
Mailing:
2650 MCCORMICK DR
CLEARWATER, FL 33759-1005
CLEARWATER, FL 33759-1005
Phone:
+1 (317) 514-8473
Fax:
+1 (317) 514-8473
Email:
entity@amerilife.com
| License Type | Start Date | End Date |
|---|---|---|
| NON-RESIDENT PRODUCER AGENCY | 02/23/2016 | 04/01/2027 |
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|---|---|---|---|---|
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04/19/2016 | LHF231363 | 01/23/2017 | |
| WASHINGTON NATIONAL INSURANCE COMPANY |
04/06/2020 | LHF294 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| BRADLEY G. LACEY |
06/05/2025 | PRN505738 |
Branch Office
None.
Supervised Entity
None.
| Name | License Number |
|---|---|
| BRADLEY G. LACEY | PRN505738 |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
17740115
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: 06/21/2025 10:29:08 PM
