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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEANIE VAN

PRODUCER NON-RESIDENT

License Number:
PRN481084
Status:
First Licensure:
04/06/2024
Cancel Date:
None

Mailing:
DORCHESTER, MA 02122
Phone:
+1 (617) 546-7181
Email:
jeanie_van@ajg.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/06/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
04/18/2024 AGN37963 01/02/2026

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF NEW YORK
03/09/2026 PCF437

Authority

Description Issue Date Termination Date Status
CASUALTY 04/06/2024 Active
PROPERTY 04/06/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8235902

Other Addresses

Address Type
ARTHUR J GALLAGHER SERVICES COMPANY
111 WASHINGTON ST
QUINCY, MA 02169-5354
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: 03/27/2026 09:01:07 AM