black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SANDRA M. BOUCHER

PRODUCER NON-RESIDENT

License Number:
PRN219991
Status:
First Licensure:
08/14/2013
Cancel Date:
None

Mailing:
DURHAM, NC 27707
Phone:
+1 (800) 555-3979
Email:
sboucher@nc.rr.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/14/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
PETPREMIUM, INC
08/23/2013 AGN220442 07/08/2014
VETCARE HEALTH INC
06/10/2014 AGN233612 06/22/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
07/05/2017 PCF62719
LIBERTY INSURANCE UNDERWRITERS INC
07/22/2014 PCF175807 05/19/2015
UNITED STATES FIRE INSURANCE COMPANY
09/12/2013 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 08/14/2013 Active
PROPERTY 08/14/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
14675718

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: 12/08/2025 01:05:09 PM