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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MAVERICK HEALTH SOLUTIONS, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN402773
Status:
First Licensure:
11/06/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
100 OTTAWA AVE SW
GRAND RAPIDS, MI 49503-5087
Mailing:
PO BOX 1788
GRAND RAPIDS, MI 49501-1788
Phone:
+1 (800) 748-0351
Fax:
+1 (800) 847-3129
Email:
insurancelicensing@acrisure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/06/2021 04/01/2027

Employer

None.

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
COLEEN LYNETTE DIBBLE
08/20/2024 PRN477813
MICHAEL RYAN GUFFY
12/30/2025 PRN529892

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHAEL RYAN GUFFY PRN529892

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20129941

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: 01/11/2026 11:35:21 AM