black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CRISTINA LEE POULSEN

PRODUCER NON-RESIDENT

License Number:
PRN351983
Status:
First Licensure:
03/30/2020
Cancel Date:
None

Mailing:
GRANDVIEW HEIGHTS, OH 43212
Phone:
+1 (800) 540-2016
Fax:
+1 (855) 863-3606
Email:
petlicng@nationwide.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/30/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
DVM INSURANCE AGENCY
04/07/2020 AGN27317

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL CASUALTY COMPANY
04/07/2020 PCF85

Authority

Description Issue Date Termination Date Status
CASUALTY 03/30/2020 Active
PROPERTY 03/30/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17933274

Other Addresses

Address Type
702 E 45TH ST
LOS ANGELES, CA 90011-3604
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: 12/22/2025 02:27:08 PM