black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DANIEL GRIJALVA

PRODUCER NON-RESIDENT

License Number:
PRN517627
Status:
First Licensure:
06/07/2025
Cancel Date:
None

Mailing:
NEW CITY, NY 10956
Phone:
+1 (914) 846-0146
Fax:
+1 (914) 846-0199
Email:
dan.grijalva@citizensprivatewealth.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/07/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
CITIZENS SECURITIES INCORPORATED
06/12/2025 AGN72001

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
06/11/2025 LHF804
CMFG LIFE INSURANCE COMPANY
08/07/2025 LHF155
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
07/30/2025 LHF168
GUARDIAN INSURANCE & ANNUITY COMPANY INC
06/11/2025 LHF27827
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
06/11/2025 LHF644
MEMBERS LIFE INSURANCE COMPANY
08/07/2025 LHF756
SECURITY BENEFIT LIFE INSURANCE COMPANY
07/22/2025 LHF259

Authority

Description Issue Date Termination Date Status
HEALTH 06/07/2025 Active
LIFE 06/07/2025 Active
VARIABLE CONTRACTS 07/04/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8744287

Other Addresses

Address Type
520 WHITE PLAINS RD
TARRYTOWN, NY 10591-5137
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: 02/05/2026 03:30:21 AM