black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL HENRY INCHALIK

PRODUCER NON-RESIDENT

License Number:
PRN488359
Status:
First Licensure:
07/06/2024
Cancel Date:
None

Mailing:
CHARLOTTE, NC 28203
Phone:
+1 (800) 676-0769
Fax:
+1 (813) 984-3201
Email:
sam.inchalik@guidedsolutions.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/06/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
07/09/2024 PCF258492
BRISTOL WEST INSURANCE COMPANY
07/31/2024 PCF78370
THE CINCINNATI CASUALTY COMPANY
07/09/2024 PCF137248
THE CINCINNATI INSURANCE COMPANY
07/09/2024 PCF989
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/31/2024 PCF445
NATIONWIDE MUTUAL INSURANCE COMPANY
07/11/2024 PCF32
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/19/2024 PCF27738

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 07/06/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21224209

Other Addresses

Address Type
7910 MICROSOFT WAY
CHARLOTTE, NC 28273-8110
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: 05/15/2025 09:46:50 AM