black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DONNA M. SHAW

PRODUCER NON-RESIDENT

License Number:
PRN167566
Status:
First Licensure:
06/30/2009
Cancel Date:
None

Mailing:
LOWELL, MA 01851
Phone:
+1 (978) 322-7133
Fax:
+1 (978) 454-1865
Email:
dmshaw@fredcchurch.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/30/2009

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
MIDDLESEX MUTUAL ASSURANCE COMPANY
11/03/2009 PCF844 12/30/2011
MMG INSURANCE COMPANY
11/01/2009 PCD5
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
06/14/2023 PCF974

Authority

Description Issue Date Termination Date Status
CASUALTY 06/30/2009 Active
PROPERTY 06/30/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5411706

Other Addresses

Address Type
LOWELL, MA 01851
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: 05/17/2025 06:40:53 AM