black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REYCIA VIRGINIA LAWRENCE

PRODUCER NON-RESIDENT

License Number:
PRN487551
Status:
First Licensure:
06/25/2024
Cancel Date:
None

Mailing:
PHOENIX, AZ 85020
Phone:
+1 (800) 435-7764
Fax:
+1 (913) 826-8897
Email:
rlawrence@petpartners.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/25/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
08/27/2024 PCF86149

Authority

Description Issue Date Termination Date Status
PROPERTY 06/25/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19167101

Other Addresses

Address Type
8051 ARKO CORP DR SUITE 350
RALEIGH, NC 27617
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 03:25:17 PM