black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COASTAL INSURANCE CONSULTING, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN364680
Status:
First Licensure:
10/09/2020
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
110 PHOENIXVILLE PIKE STE 200
MALVERN, PA 19355-1018
Mailing:
110 PHOENIXVILLE PIKE STE 200
MALVERN, PA 19355-1018
Phone:
+1 (484) 853-8507
Fax:
+1 (215) 494-3655
Email:
mdriscoll@coastalic.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/09/2020 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
EQUITRUST LIFE INSURANCE COMPANY
10/25/2024 LHF99289
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
06/29/2021 LHF168
INTEGRITY LIFE INSURANCE COMPANY
11/29/2021 LHF262166
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
09/13/2023 LHF210
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
10/30/2023 LHF62021

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MICHAEL DRISCOLL
10/09/2020 PRN181895

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHAEL DRISCOLL PRN181895

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17107207

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: 05/13/2025 12:03:02 AM