black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN DAVIS

PRODUCER NON-RESIDENT

License Number:
PRN499885
Status:
First Licensure:
10/30/2024
Cancel Date:
None

Mailing:
CASA GRANDE, AZ 85122
Phone:
+1 (920) 330-2242
Fax:
+1 (920) 330-5124
Email:
john.davis@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/30/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
11/06/2024 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
11/20/2024 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/20/2024 PCF445
HOMESITE INSURANCE COMPANY
11/14/2024 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
10/30/2024 PCF116371
MIDVALE INDEMNITY COMPANY
11/14/2024 PCF79410
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
11/22/2024 PCF27738

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 10/30/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20411865

Other Addresses

Address Type
5353 W BELL RD
GLENDALE, AZ 85308-3912
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: 10/16/2025 05:13:23 AM