black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE M. RALSTON

PRODUCER NON-RESIDENT

License Number:
PRN330416
Status:
First Licensure:
05/01/2019
Cancel Date:
None

Mailing:
MARIETTA, GA 30066
Phone:
+1 (770) 741-0168
Fax:
+1 (317) 554-4369
Email:
mralston@pureprograms.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/01/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
11/07/2019 PCF212805

Authority

Description Issue Date Termination Date Status
CASUALTY 05/01/2019 Active
PROPERTY 05/01/2019 Active
SURPLUS LINES 05/01/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6517550

Other Addresses

Address Type
300 COLONIAL CENTER PKWY STE 200
ROSWELL, GA 30076-8844
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 11:57:59 PM