black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INSURANCE RISK ADVISORY GROUP, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN463843
Status:
First Licensure:
09/16/2023
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
1335 MARTIN LUTHER KING JR AVE STE B
DUNEDIN, FL 34698-5061
Mailing:
1335 MARTIN LUTHER KING JR AVE STE B
DUNEDIN, FL 34698-5061
Phone:
+1 (727) 314-1211
Email:
charlcie.kingston@insurancerisk-ag.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/16/2023 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
08/30/2024 PCF260762
SECURITY NATIONAL INSURANCE COMPANY
08/30/2024 PCF189490
SEQUOIA INSURANCE COMPANY
08/30/2024 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
08/30/2024 PCF136874
WESCO INSURANCE COMPANY
08/30/2024 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHARLCIE CARRIE KINGSTON
09/16/2023 PRN460661

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CHARLCIE CARRIE KINGSTON PRN460661

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17573980

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 10:41:36 PM