Search → BREANA MARIAPHON KOULBOUT
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
BREANA MARIAPHON KOULBOUT
PRODUCER NON-RESIDENT
License Number:
PRN513170
Status:
First Licensure:
04/16/2025
Cancel Date:
None
Mailing:
COLUMBUS, OH 43232
Phone:
+1 (614) 589-9668
Fax:
+1 (800) 238-1042
Email:
license@embracepetinsurance.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 04/16/2025 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| EMBRACE PET INS LLC |
04/16/2025 | AGN175227 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN MODERN HOME INSURANCE COMPANY |
04/23/2025 | PCF808 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 04/16/2025 | Active | |
| PROPERTY | 04/16/2025 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
21540656
| Address | Type |
|---|---|
| COLUMBUS, OH 43232 |
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: 02/16/2026 09:15:54 AM
