black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADRIAN DAVIS DEMONTLUZIN

PRODUCER NON-RESIDENT

License Number:
PRN374784
Status:
First Licensure:
02/06/2021
Cancel Date:
None

Mailing:
PALM BEACH GARDENS, FL 33418
Phone:
+1 (561) 383-3612
Fax:
+1 (561) 383-3601
Email:
davis.demontluzin@ampf.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/06/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERIPRISE FINANCIAL SERVICES LLC
08/09/2023 AGN55156

Employer

Name Issue Date License Number Expiration Date Cancel Date
RIVERSOURCE LIFE INSURANCE COMPANY
02/10/2021 LHF200 06/22/2023

Authority

Description Issue Date Termination Date Status
HEALTH 02/06/2021 Active
LIFE 02/06/2021 Active
VARIABLE CONTRACTS 02/06/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
561505

Other Addresses

Address Type
3801 PGA BLVD FL 10
PALM BEACH GARDENS, FL 33410-2757
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: 11/21/2025 01:57:47 AM