black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID MOLLOY FULLER II

PRODUCER NON-RESIDENT

License Number:
PRN90193
Status:
First Licensure:
10/30/2002
Cancel Date:
None

Mailing:
ST AUGUSTINE, FL 32092
Phone:
+1 (888) 322-7557
Fax:
+1 (312) 986-2920
Email:
licensing@gohealth.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/30/2002

Agency

Name Issue Date License Number Expiration Date Cancel Date
21ST CENTURY INSURANCE & FINANCIAL SERVICES INC
10/30/2002 AGN22030 07/01/2011

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIU INSURANCE COMPANY
11/07/2002 PCF308
AMERICAN HOME ASSURANCE COMPANY
11/07/2002 PCF367
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
11/07/2002 PCF482
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
11/07/2002 PCF527

Authority

Description Issue Date Termination Date Status
CASUALTY 10/30/2002 Active
PROPERTY 10/30/2002 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7340785

Other Addresses

Address Type
214 W HURON ST
CHICAGO, IL 60654-8618
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: 05/25/2025 04:08:57 PM