black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID M. HATLEM

PRODUCER NON-RESIDENT

License Number:
PRN221631
Status:
First Licensure:
09/14/2013
Cancel Date:
None

Mailing:
CHARLOTTE, NC 28211
Phone:
+1 (201) 213-0919
Fax:
+1 (866) 974-2329
Email:
dhatlem@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/14/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
SAFEHOLD SPECIAL RISK INC
02/18/2021 AGN141202 10/09/2024
WSIB INSURANCE AGENCY LLC
09/14/2013 AGN130112

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
12/03/2013 PCF393
AMERICAN HOME ASSURANCE COMPANY
12/03/2013 PCF367
GRANITE STATE INSURANCE COMPANY
08/31/2015 PCF452
ILLINOIS NATIONAL INSURANCE COMPANY
08/31/2015 PCF53254
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
12/03/2013 PCF527
NEW HAMPSHIRE INSURANCE COMPANY
08/31/2015 PCF531

Authority

Description Issue Date Termination Date Status
CASUALTY 09/14/2013 Active
HEALTH 09/14/2013 Active
LIFE 09/14/2013 Active
PROPERTY 09/14/2013 Active

Responsible For

Name License Number
WSIB INSURANCE AGENCY LLC AGN130112

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
241367

Other Addresses

Address Type
CHARLOTTE, NC 28211
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: 05/18/2025 06:45:29 AM