black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEREMY ANSON POLICARPIO

PRODUCER NON-RESIDENT

License Number:
PRN336378
Status:
First Licensure:
08/16/2019
Cancel Date:
None

Mailing:
GRANDVIEW HEIGHTS, OH 43212
Phone:
+1 (714) 521-6800
Fax:
+1 (714) 879-1933
Email:
petlicng@nationwide.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/16/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
DVM INSURANCE AGENCY
08/29/2019 AGN27317

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL CASUALTY COMPANY
09/04/2022 PCF85

Authority

Description Issue Date Termination Date Status
CASUALTY 08/16/2019 Active
PROPERTY 08/16/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17965548

Other Addresses

Address Type
505 PRINCETON CIR W
FULLERTON, CA 92831-2729
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: 06/18/2025 02:12:53 AM