black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FREDERICK MICHAEL SEILKOP

PRODUCER NON-RESIDENT

License Number:
PRN161369
Status:
First Licensure:
12/10/2008
Cancel Date:
None

Mailing:
SUWANEE, GA 30024
Phone:
+1 (678) 935-5040
Fax:
+1 (678) 935-5032
Email:
ljoldersma@hpsi-ins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/10/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEALTHCARE PROFESSIONAL SERVICES INC
12/10/2008 AGN136419

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT MIDWEST INSURANCE COMPANY
10/30/2014 PCF82030
IMPERIUM INSURANCE COMPANY
10/30/2014 PCF80207

Authority

Description Issue Date Termination Date Status
CASUALTY 12/10/2008 Active
PROPERTY 12/10/2008 Active
SURPLUS LINES 01/04/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
454145

Other Addresses

Address Type
HEALTHCARE PROFESSIONAL
313 SWANSON DR
LAWRENCEVILLE, GA 30043-8533
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: 11/10/2025 03:05:19 PM