black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID BRADLEY

PRODUCER NON-RESIDENT

License Number:
PRN141350
Status:
First Licensure:
06/23/2007
Cancel Date:
None

Mailing:
CRYSTAL LAKE, IL 60014
Phone:
+1 (920) 330-3876
Fax:
+1 (920) 330-5124
Email:
david.bradley@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/23/2007

Agency

Name Issue Date License Number Expiration Date Cancel Date
MEDPRO INSURANCE SERVICES LLC
10/19/2009 AGN47977 05/26/2011

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ZURICH INSURANCE COMPANY
12/18/2009 PCF914
ASSURANCE COMPANY OF AMERICA
12/18/2009 PCF651 03/11/2015
MARYLAND CASUALTY COMPANY
12/18/2009 PCF500 02/02/2015
MEDICAL PROTECTIVE COMPANY (THE)
07/10/2007 PCF47861 02/19/2008
MEDICAL PROTECTIVE COMPANY (THE)
01/27/2009 PCF47861 03/28/2011
NORTHERN INSURANCE COMPANY OF NEW YORK
12/18/2009 PCF501 02/02/2015

Authority

Description Issue Date Termination Date Status
CASUALTY 06/23/2007 Active
PROPERTY 06/23/2007 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8895406

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 12/16/2025 01:17:54 PM