black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL DUANE LILLY

PRODUCER NON-RESIDENT

License Number:
PRN332028
Status:
First Licensure:
05/31/2019
Cancel Date:
None

Mailing:
LITHIA, FL 33547
Phone:
+1 (770) 829-3411
Fax:
+1 (719) 528-8323
Email:
mike@southernintegrityybderwriters.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/31/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
RISK PLACEMENT SERVICES INC
05/31/2019 AGN62458 04/21/2020

Employer

Name Issue Date License Number Expiration Date Cancel Date
FIREMANS FUND INSURANCE COMPANY
02/08/2024 PCF443

Authority

Description Issue Date Termination Date Status
CASUALTY 05/31/2019 Active
PROPERTY 05/31/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4073604

Other Addresses

Address Type
LITHIA, FL 33547
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: 05/22/2025 07:44:44 AM