black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GUILLERMO MATA

PRODUCER NON-RESIDENT

License Number:
PRN416006
Status:
First Licensure:
04/13/2022
Cancel Date:
None

Mailing:
DALLAS, TX 75231
Phone:
+1 (469) 309-1499
Fax:
+1 (866) 669-0612
Email:
guillermo.a.mata@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/13/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
BRANCH FINANCIAL, LLC
07/06/2022 AGN375045

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
04/09/2024 PCF258492
BRISTOL WEST INSURANCE COMPANY
04/16/2024 PCF78370
FARMERS CASUALTY INSURANCE COMPANY
04/16/2024 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
04/16/2024 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
04/16/2024 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/16/2024 PCF445
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
01/03/2023 PCF27738 01/29/2024

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 04/13/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18250888

Other Addresses

Address Type
DALLAS, TX 75231
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: 06/10/2025 02:41:46 AM