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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DERRONISHA V. STEPHENS

PRODUCER NON-RESIDENT

License Number:
PRN436747
Status:
First Licensure:
11/10/2022
Cancel Date:
None

Mailing:
MARIETTA, GA 30064
Phone:
+1 (504) 344-7703
Fax:
+1 (678) 483-8152
Email:
derronisha.stephens@insureon.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/10/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
SPECIALTY PROGRAM GROUP LLC
11/23/2022 AGN278764

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
12/05/2022 PCF155357 05/17/2024
THE HANOVER INSURANCE COMPANY
12/12/2022 PCF712

Authority

Description Issue Date Termination Date Status
CASUALTY 11/10/2022 Active
PROPERTY 11/10/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18763073

Other Addresses

Address Type
MARIETTA, GA 30064
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: 05/24/2025 04:52:21 AM