black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROBERT LAWRENCE MARTIN

PRODUCER NON-RESIDENT

License Number:
PRN63608
Status:
First Licensure:
07/27/1999
Cancel Date:
None

Mailing:
CHICAGO, IL 60605
Phone:
+1 (917) 293-0240
Fax:
+1 (818) 598-8910
Email:
robere6744@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/05/2021
*** NOT ACTIVE *** 08/31/2001 10/04/2021
PRODUCER NON-RESIDENT 07/27/1999 08/30/2001

Agency

Name Issue Date License Number Expiration Date Cancel Date
VENBROOK INS SERVICES
10/05/2021 AGN177584 07/20/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
04/03/2024 PCF86149

Authority

Description Issue Date Termination Date Status
CASUALTY 10/05/2021 Active
PROPERTY 10/05/2021 Active
PROPERTY AND CASUALTY 07/27/1999 08/31/2001 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2199321

Other Addresses

Address Type
CHICAGO, IL 60605
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: 05/20/2025 02:36:40 AM