black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID JOHN FOURNIER

PRODUCER NON-RESIDENT

License Number:
PRN287934
Status:
First Licensure:
06/07/2017
Cancel Date:
None

Mailing:
SILVER SPRING, MD 20904
Phone:
+1 (888) 951-4276
Fax:
+1 (301) 453-6885
Email:
rvicente@adventistrisk.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/07/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
ADVENTIST RISK MANAGEMENT INC
06/07/2017 AGN213531

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYERS INSURANCE COMPANY OF WAUSAU
06/02/2021 PCF434
FIRST LIBERTY INSURANCE CORPORATION
06/02/2021 PCF31779
LIBERTY INSURANCE CORPORATION
06/02/2021 PCF999
LIBERTY MUTUAL FIRE INSURANCE COMPANY
06/02/2021 PCF330
LM INSURANCE CORPORATION
06/02/2021 PCF31778
RELIASTAR LIFE INSURANCE COMPANY
08/19/2021 LHF22
STATE NATIONAL INSURANCE COMPANY INC.
07/27/2017 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 06/07/2017 Active
HEALTH 05/18/2021 Active
LIFE 05/18/2021 Active
PROPERTY 06/07/2017 Active

Responsible For

Name License Number
ADVENTIST RISK MANAGEMENT INC AGN213531

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17720611

Other Addresses

Address Type
SILVER SPRING, MD 20904
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: 06/09/2025 10:22:58 AM