black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MATTHEW SCOTT GROTHOUSE

PRODUCER NON-RESIDENT

License Number:
PRN527394
Status:
First Licensure:
09/17/2025
Cancel Date:
None

Mailing:
DELPHOS, OH 45833
Phone:
+1 (419) 615-7450
Fax:
+1 (419) 615-7450
Email:
mattg@revolutionmortgage.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/17/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
REVOSURE LLC
10/20/2025 AGN531039

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF NEW YORK
03/12/2026 PCF437

Authority

Description Issue Date Termination Date Status
CASUALTY 09/17/2025 Active
PROPERTY 09/17/2025 Active

Responsible For

Name License Number
REVOSURE LLC AGN531039

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19095138

Other Addresses

Address Type
DELPHOS, OH 45833
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: 04/07/2026 12:30:29 AM