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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK LUKE PETERSON

PRODUCER NON-RESIDENT

License Number:
PRN444040
Status:
First Licensure:
02/15/2023
Cancel Date:
None

Mailing:
ONALASKA, WI 54650
Phone:
+1 (608) 783-6441
Fax:
+1 (608) 783-8155
Email:
dpeterson@ticinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/15/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
MIDDLESEX INSURANCE COMPANY
02/16/2023 PCF509
SENTRY INSURANCE COMPANY
02/16/2023 PCF461

Authority

Description Issue Date Termination Date Status
CASUALTY 02/15/2023 Active
PROPERTY 02/15/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9724119

Other Addresses

Address Type
701 SAND LAKE RD
ONALASKA, WI 54650-2442
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 12:16:48 PM