black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL DOMENIC PERNA

PRODUCER NON-RESIDENT

License Number:
PRN76297
Status:
First Licensure:
02/14/2001
Cancel Date:
None

Mailing:
LAS VEGAS, NV 89183
Phone:
+1 (702) 533-4232
Fax:
+1 (702) 837-5530
Email:
mdp702@aol.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/14/2001

Agency

Name Issue Date License Number Expiration Date Cancel Date
EBC INC
09/04/2002 AGN88916 01/04/2007
PATRIOT GROWTH INSURANCE SERVICES, LLC
04/08/2019 AGN313383

Employer

Name Issue Date License Number Expiration Date Cancel Date
BOSTON MUTUAL LIFE INSURANCE COMPANY
10/16/2020 LHF135
HUMANA INSURANCE COMPANY
08/13/2009 LHF980 08/31/2011
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873 08/31/2011
JOHN ALDEN LIFE INSURANCE COMPANY
05/06/2005 LHF724 12/17/2008

Authority

Description Issue Date Termination Date Status
HEALTH 02/14/2001 Active
LIFE 02/14/2001 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
614670

Other Addresses

Address Type
31248 OAK CREST DR STE 140
WESTLAKE VILLAGE, CA 91361-5672
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: 06/25/2025 11:40:34 AM