black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LEIGH ANN SELF

PRODUCER NON-RESIDENT

License Number:
PRN93788
Status:
First Licensure:
03/24/2003
Cancel Date:
None

Mailing:
FOREST, VA 24551
Phone:
+1 (434) 213-5993
Fax:
+1 (434) 316-9713
Email:
laself75@hotmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/24/2003

Agency

Name Issue Date License Number Expiration Date Cancel Date
JAMES A SCOTT & SON INC
02/10/2016 AGN43859

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
12/15/2008 PCF34188 06/01/2011
NATIONWIDE ASSURANCE COMPANY
08/20/2009 PCF38952 06/01/2011
NATIONWIDE GENERAL INSURANCE COMPANY
12/15/2008 PCF30 06/01/2011
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
04/08/2003 PCF31 05/29/2008
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
12/15/2008 PCF31 06/01/2011
NATIONWIDE MUTUAL INSURANCE COMPANY
04/08/2003 PCF32 05/29/2008
NATIONWIDE MUTUAL INSURANCE COMPANY
12/15/2008 PCF32 06/01/2011
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/24/2009 PCF27738 03/01/2010
UNITED FINANCIAL CASUALTY COMPANY
03/24/2009 PCF61704 03/01/2010

Authority

Description Issue Date Termination Date Status
CASUALTY 03/24/2003 Active
PROPERTY 03/24/2003 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7459514

Other Addresses

Address Type
JAMES A. SCOTT & SON INC.
1301 OLD GRAVES MILL RD
LYNCHBURG, VA 24502-4317
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: 06/22/2025 04:14:07 PM