black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DVM INSURANCE AGENCY

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN27317
Status:
First Licensure:
05/23/1990
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
101 CALIFORNIA ST STE 900
SAN FRANCISCO, CA 94111-5848
Mailing:
1000 YARD ST # GH-3B
GRANDVIEW HEIGHTS, OH 43212-3905
Phone:
+1 (800) 540-2016
Fax:
+1 (866) 269-8146
Email:
petlicng@nationwide.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/01/1994 04/01/2027
*** NOT ACTIVE *** 09/01/1992 03/31/1994
NON-RESIDENT PRODUCER AGENCY 05/23/1990 08/31/1992

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL CASUALTY COMPANY
10/01/1997 PCF85

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DARREN JOHN ANDERSON
05/13/2025 PRN228732
ALEX FERNANDO ARTILES
04/08/2025 PRN374071
JACLYN AVELAR
04/15/2022 PRN226321
AMANDA NICOLE BAXENDALE
09/10/2019 PRN268514
YVONNE PATRICIA BELLERIVE
10/02/2007 PRN145555
MICHELLE BIELBY
10/25/2021 PRN400844
RICHARD BOWERS
10/09/2017 PRN295344
ROBERT KELLY BOYD
03/30/2020 PRN336158
ALLISON R. BRADLEY
06/26/2019 PRN333269
KEVIN W. BROUGHER
04/25/2013 PRN215846
SHARON DIANNE BURNS
05/07/2019 PRN328025
DANIEL CHRIS CABANA
05/15/2009 PRN166445
BARBARA ANN CAMPELLONE
05/07/2019 PRN328004
MANUEL CASTANEDA
04/05/2014 PRN231048
ROSILYN CAZARES
04/14/2022 PRN279148
DILSA GONZALEZ CHAMU
07/30/2013 PRN219383
FRANKLIN DAVID CHAPPELL
10/22/2020 PRN365857
ROBERT BRUCE COLTRAIN
03/30/2020 PRN333171
RAYMOND DARIN
04/03/2017 PRN252625
KEVIN DAWSON
03/23/2022 PRN178828
ROSSYVETTE DODGE
06/09/2020 PRN354638
ADRIANA PATRICIA DOMINGUEZ
09/27/2019 PRN338348
HEIDI LYNN DRAPER
09/22/2023 PRN463976
MICHELE MARIE EDISS
02/14/2008 PRN150271
KASSANDRA ELIZARRARAZ
03/25/2022 PRN277632
JESUS ALBERT ESCOBEDO
09/24/2024 PRN381669
DOMINIC JOSEPH ETCHEBERRIA II
12/29/2009 PRN173610
KEVIN FLANAGAN
06/19/2017 PRN288456
ELIZABETH FOLLAND
05/05/2026 PRN547423
KYLE FOLTZ
12/20/2022 PRN250605
ELINOR FOURLICHT
08/22/2011 PRN131138
TERICA MONET FUNES
01/23/2010 PRN174275
GARY FUNG
09/24/2024 PRN425245
ANGELICA GARCIA
06/05/2014 PRN233463
JENNIFER ANNE GIVEN
11/09/2021 PRN397226
ARIEL GONZALEZ
09/22/2022 PRN293589
STEVEN RICHARD GREEN
06/18/2018 PRN311100
DONNA MARIE GRETH
05/27/2022 PRN215849
DANIEL GUARNERI
07/17/2023 PRN456450
CYNTHIA GERTRUDIS GUZICK
06/27/2014 PRN234443
MEGHAN HAMILTON
12/12/2025 PRN535652
CARTER HASAN
10/20/2016 PRN268647
DAX DAVID HOFF
03/30/2020 PRN334648
TIMOTHY LEE HUMPHREY
01/28/2016 PRN263527
DAVID JOEL HURLEY
05/11/2018 PRN307886
CHRISTINA MICHELLE HUTCHINS
09/27/2014 PRN239167
KENNETH RAY ILES
03/26/2009 PRN164852
KEITH L. ISRAEL JR
03/11/2026 PRN140141
TODD JOHNSON
03/03/2021 PRN332325
SEAN KIM
10/20/2016 PRN266959
KELLEY RENE KIRBY
05/22/2024 PRN334282
KIARASH KORKI
03/06/2015 PRN247253
DEMETRA LAUGHLIN
11/23/2011 PRN197556
MICHELLE MATRAHAZI LEVINE
01/23/2010 PRN174279
RACHELLE LINDSAY
05/04/2021 PRN381699
PRISCILLA CELIA LOPEZ
12/07/2017 PRN298318
REBECCA ANNE LOPEZ
11/01/2014 PRN241395
MICHAEL JOSEPH LUCERO
10/13/2015 PRN258449
MELONY LUJAN
02/02/2026 PRN538665
CYNTHIA MARROQUIN
04/02/2025 PRN452175
KARLA SANDY MARTINEZ
12/07/2017 PRN298438
KEVIN JAMES MC ELWEE
03/22/2021 PRN377476
AMY MICHELLE MCDONALD
02/17/2016 PRN264397
SARAH KELLY MCLEOD
02/12/2020 PRN348270
COREY G. MILLER
10/11/2019 PRN338339
DANIELLE CHRISTA MUNOS
06/22/2023 PRN454328
MATTHEW J. NEUENS
09/24/2024 PRN419133
KLAUS ANDRES NOWAKOWSKI
12/07/2011 PRN197875
ELAINE ORTEGA
03/25/2022 PRN235209
BRIAN WILLIAM OSBORN
06/25/2018 PRN309981
KEVIN TODD PATCHEAK
10/13/2005 PRN119192
ERIK PETERSEN
10/19/2017 PRN296313
JEREMY ANSON POLICARPIO
08/29/2019 PRN336378
CRISTINA LEE POULSEN
04/07/2020 PRN351983
ROBERT SEAN RAMIREZ
03/30/2020 PRN332578
KEVIN MICHAEL RENTCH
10/14/2005 PRN119353
ARTURO REVELES
09/08/2020 PRN360454
SHELLEY RICHARDS
08/16/2010 PRN129363
ANTHONY RODRIGUEZ
12/14/2021 PRN405459
MELODY ROSE
04/09/2025 PRN243871
JOSE MARIA RUIZ
11/07/2008 PRN160137
JUSTIN RAY SETSER
10/06/2021 PRN131922
AMANDA MARIE SIMS
07/09/2021 PRN228005
ROBERT EDWIN SLONIN
05/19/2022 PRN415943
TACHE SMOTHERS
04/15/2026 PRN544914
CHAD THOMPSON
09/22/2022 PRN407908
BIANCA TORRES
03/07/2024 PRN247728
JON PAUL VALDEZ
10/02/2012 PRN208625
ANIA TYLER VELAZQUEZ
04/23/2026 PRN546200
CHAD ANTHONY WAYNE
03/01/2018 PRN304075

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KEITH L. ISRAEL JR PRN140141

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16423

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: 06/20/2026 10:16:45 AM