black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHANNEN LOREE SANDOVAL

PRODUCER NON-RESIDENT

License Number:
PRN417255
Status:
First Licensure:
04/28/2022
Cancel Date:
None

Mailing:
ZACHARY, LA 70791
Phone:
+1 (225) 326-5418
Fax:
+1 (225) 644-8750
Email:
bia.licensing@insuritas.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/28/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE LLC
07/30/2024 AGN160630 06/27/2025
ACRISURE NORTHWEST PARTNERS INSURANCE SERVICES, LLC
06/17/2025 AGN439610 09/25/2025
BANC INS AGENCY INC
04/28/2022 AGN168808

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
05/05/2022 PCF155357 09/03/2024
ALLIED INSURANCE COMPANY OF AMERICA
06/26/2022 PCF216138 10/09/2023
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
06/26/2022 PCF223935 10/09/2023
AMCO INSURANCE COMPANY
06/26/2022 PCF223938 10/09/2023
DEPOSITORS INSURANCE COMPANY
06/26/2022 PCF223940 10/09/2023
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
08/16/2022 PCF445 10/03/2023
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
06/26/2022 PCF151937 10/09/2023
NATIONWIDE ASSURANCE COMPANY
06/26/2022 PCF38952 10/09/2023
NATIONWIDE GENERAL INSURANCE COMPANY
06/26/2022 PCF30 10/09/2023
NATIONWIDE INSURANCE COMPANY OF AMERICA
06/26/2022 PCF422 10/09/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
06/26/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
06/26/2022 PCF32 10/09/2023
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
06/26/2022 PCF151089 10/09/2023

Authority

Description Issue Date Termination Date Status
CASUALTY 04/28/2022 Active
PROPERTY 04/28/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4711644

Other Addresses

Address Type
ZACHARY, LA 70791
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: 10/21/2025 11:18:17 AM