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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSICA LANG

PRODUCER NON-RESIDENT

License Number:
PRN412280
Status:
First Licensure:
03/04/2022
Cancel Date:
None

Mailing:
GREEN BAY, WI 54303
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5124
Email:
jessica.lang@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/04/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY OF THE MIDWEST
06/09/2022 PCF116371
MIDVALE INDEMNITY COMPANY
06/09/2022 PCF79410

Authority

Description Issue Date Termination Date Status
CASUALTY 03/04/2022 Active
PROPERTY 03/04/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20255262

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 02/20/2026 10:08:43 AM