black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MERCER HEALTH & BENEFITS ADMINISTRATION LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN189659
Status:
First Licensure:
05/04/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
12421 MEREDITH DR
URBANDALE, IA 50323-4000
Mailing:
1166 AVENUE OF THE AMERICAS
NEW YORK, NY 10036-2708
Phone:
+1 (212) 345-9680
Fax:
+1 (212) 345-4431
Email:
licensing.support@marsh.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/04/2011 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
01/07/2014 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
09/22/2024 PCF44
AETNA HEALTH INC
12/23/2013 HMD45749
AETNA LIFE INSURANCE COMPANY
12/23/2013 LHF621
AIG PROPERTY CASUALTY COMPANY
01/14/2014 PCF393
AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
01/29/2014 PCF358
AMERICAN ECONOMY INSURANCE COMPANY
01/07/2022 PCF363
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
01/28/2015 LHF645 04/01/2018
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/01/2018 LHF306110
AMERICAN GENERAL LIFE INSURANCE COMPANY
09/14/2015 LHF119
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
01/15/2014 PCF366 04/08/2022
AMERICAN HERITAGE LIFE INSURANCE COMPANY
11/02/2015 LHF594
AMERICAN HOME ASSURANCE COMPANY
01/14/2014 PCF367
AMERICAN MODERN HOME INSURANCE COMPANY
02/06/2014 PCF808 10/28/2021
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
10/16/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
12/16/2013 PCF123448 10/28/2021
AMERICAN PET INSURANCE COMPANY
02/14/2018 PCF204502
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
04/07/2022 LHF374 03/01/2025
AMERICAN STRATEGIC INSURANCE CORP
01/03/2019 PCF258492
AMH HEALTH PLANS OF MAINE, INC.
10/21/2021 LHD353013
AMH HEALTH, LLC
10/21/2021 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
10/01/2014 LHD70566
ANTHEM INSURANCE COMPANIES INC
09/01/2021 LHF125537
ANTHEM LIFE INSURANCE COMPANY
06/01/2015 LHF70467 04/11/2025
ARCADIAN HEALTH PLAN INC
11/10/2014 HMF112421
ARCH INSURANCE COMPANY
10/23/2014 PCF62719
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
02/20/2014 PCF659 06/09/2015
BANNER LIFE INSURANCE COMPANY
04/15/2014 LHF50047
BEAZLEY INSURANCE COMPANY INC.
02/11/2014 PCF1001
BERKLEY INSURANCE COMPANY
08/25/2017 PCF166289 08/08/2023
BERKLEY LIFE AND HEALTH INSURANCE COMPANY
08/29/2019 LHF14
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
09/08/2015 LHF804 06/21/2023
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
10/01/2014 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 03/01/2024
CAROLINA CASUALTY INSURANCE COMPANY
02/12/2014 PCF54 08/08/2023
THE CHARTER OAK FIRE INSURANCE COMPANY
09/07/2018 PCF403 07/08/2020
CIGNA HEALTH AND LIFE INSURANCE COMPANY
04/10/2015 LHF860 03/11/2024
CIGNA HEALTH AND LIFE INSURANCE COMPANY
04/26/2024 LHF860
COMBINED INSURANCE COMPANY OF AMERICA
09/09/2024 LHF144
COMMERCE AND INDUSTRY INSURANCE COMPANY
01/14/2014 PCF413
CONTINENTAL AMERICAN INSURANCE COMPANY
10/28/2020 LHF80843
CONTINENTAL CASUALTY COMPANY
01/29/2014 PCF420
CONTINENTAL INSURANCE COMPANY
01/29/2014 PCF782
DOCTORS' COMPANY AN INTER-INSURANCE EXCHANGE
10/21/2021 PCF32218 04/21/2022
EMPIRE HEALTHCHOICE HMO, INC.
10/21/2021 HMF285382
EVEREST NATIONAL INSURANCE COMPANY
01/17/2014 PCF99574 05/16/2023
FARMINGTON CASUALTY COMPANY
09/07/2018 PCF995
FEDERAL INSURANCE COMPANY
08/13/2021 PCF439
FIDELITY SECURITY LIFE INSURANCE COMPANY
12/22/2023 LHF972
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
10/15/2015 LHF842
FIRST LIBERTY INSURANCE CORPORATION
12/20/2013 PCF31779
GENERAL STAR NATIONAL INSURANCE COMPANY
06/14/2016 PCF514 05/19/2022
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY
06/22/2023 LHF854
GOLDEN RULE INSURANCE COMPANY
04/01/2015 LHF918 06/20/2022
GRANITE STATE INSURANCE COMPANY
01/14/2014 PCF452
GREAT AMERICAN INSURANCE COMPANY
01/07/2022 PCF764
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
09/08/2015 LHF644 09/30/2021
HCC LIFE INSURANCE COMPANY
03/16/2016 LHF133704 06/20/2017
HUMANA INSURANCE COMPANY
11/10/2014 LHF980
HUMANADENTAL INSURANCE COMPANY
11/10/2014 LHF173873
ILLINOIS NATIONAL INSURANCE COMPANY
01/14/2014 PCF53254
INDEPENDENCE AMERICAN INSURANCE COMPANY
08/15/2023 PCF86149
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
01/14/2014 PCF482
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
08/24/2018 LHF210 03/04/2019
KEMPER INDEPENDENCE INSURANCE COMPANY
12/29/2021 PCF94586 02/06/2024
LIBERTY INSURANCE CORPORATION
12/20/2013 PCF999
LIBERTY INSURANCE UNDERWRITERS INC
03/18/2014 PCF175807
LIBERTY MUTUAL FIRE INSURANCE COMPANY
12/20/2013 PCF330
LIBERTY MUTUAL INSURANCE COMPANY
12/20/2013 PCF331
LIFE INSURANCE COMPANY OF NORTH AMERICA
08/22/2019 LHF205
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
11/13/2018 LHF619
LM GENERAL INSURANCE COMPANY
12/20/2013 PCF996 09/26/2024
LM INSURANCE CORPORATION
12/20/2013 PCF31778
LOYAL AMERICAN LIFE INSURANCE COMPANY
12/28/2015 LHF207
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
01/16/2024 LHF183 04/12/2024
MEDICAL PROTECTIVE COMPANY (THE)
03/12/2014 PCF47861 09/22/2022
METROPOLITAN LIFE INSURANCE COMPANY
07/19/2019 LHF380
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
01/29/2014 PCF523
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
01/14/2014 PCF527
NATIONWIDE GENERAL INSURANCE COMPANY
11/04/2021 PCF30
NATIONWIDE LIFE INSURANCE COMPANY
11/20/2015 LHF29
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
11/04/2021 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
11/20/2015 PCF32 01/24/2019
NATIONWIDE MUTUAL INSURANCE COMPANY
11/04/2021 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
11/04/2021 PCF151089
NEW HAMPSHIRE INSURANCE COMPANY
01/14/2014 PCF531
NEW YORK LIFE INSURANCE COMPANY
11/15/2013 LHF230
THE PHOENIX INSURANCE COMPANY
02/20/2014 PCF557 06/09/2015
THE PHOENIX INSURANCE COMPANY
03/18/2016 PCF557 07/11/2017
PROGRESSIVE NORTHERN INSURANCE COMPANY
03/28/2014 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/28/2014 PCF27738
PROSELECT INSURANCE COMPANY
07/01/2018 PCF346 01/18/2023
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
11/03/2014 LHF250
PRUCO LIFE INSURANCE COMPANY
12/31/2019 LHF768 12/20/2021
PRUDENTIAL INSURANCE COMPANY OF AMERICA
06/12/2015 LHF252
RELIASTAR LIFE INSURANCE COMPANY
05/10/2021 LHF22
RIVERSTONE INTERNATIONAL INSURANCE, INC.
06/23/2021 PCF60 10/30/2023
SAFECO NATIONAL INSURANCE COMPANY
05/17/2019 PCF248658 11/10/2023
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
10/01/2014 LHF58195 03/01/2024
SILVERSCRIPT INSURANCE COMPANY
07/26/2017 LHF132429
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
09/07/2018 PCF575 07/26/2022
ST. PAUL GUARDIAN INSURANCE COMPANY
09/07/2018 PCF701 07/08/2020
ST. PAUL MERCURY INSURANCE COMPANY
09/07/2018 PCF576 07/08/2020
THE STANDARD FIRE INSURANCE COMPANY
02/20/2014 PCF584
STANDARD INSURANCE COMPANY
03/22/2016 LHF991
STARMOUNT LIFE INSURANCE COMPANY
08/21/2020 LHD131525
STARNET INSURANCE COMPANY
08/29/2019 PCF103936
STATE NATIONAL INSURANCE COMPANY INC.
03/16/2023 PCF75933
TRANSAMERICA LIFE INSURANCE COMPANY
01/09/2014 LHF726
TRANSAMERICA PREMIER LIFE INSURANCE COMPANY
04/16/2015 LHF825 10/01/2020
TRANSPORTATION INSURANCE COMPANY
01/29/2014 PCF601
TRAVELERS CASUALTY AND SURETY COMPANY
06/07/2016 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
06/23/2016 PCF974
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
02/20/2014 PCF31810 06/09/2015
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
06/23/2016 PCF935 07/11/2017
TRAVELERS COMMERCIAL CASUALTY COMPANY
09/07/2018 PCF83507 07/08/2020
TRAVELERS COMMERCIAL INSURANCE COMPANY
04/07/2014 PCF31811
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
02/20/2014 PCF56556
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
02/20/2014 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
04/07/2014 PCF435 06/09/2015
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
06/23/2016 PCF435 07/11/2017
THE TRAVELERS INDEMNITY COMPANY
02/20/2014 PCF602 06/09/2015
TRAVELERS PERSONAL INSURANCE COMPANY
12/13/2018 PCF201268
TRAVELERS PERSONAL SECURITY INSURANCE COMPANY
11/12/2024 PCF201269
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
09/07/2018 PCF711 07/08/2020
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
04/07/2014 PCF31808 06/09/2015
TRUSTMARK INSURANCE COMPANY
12/09/2015 LHF132
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
09/14/2015 LHF654
UNITEDHEALTHCARE INSURANCE COMPANY
10/01/2014 LHF700 03/01/2024
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/12/2016 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
01/29/2023 HMF376407 03/01/2024
UNITRIN SAFEGUARD INSURANCE COMPANY
12/29/2021 PCF167010 02/06/2024
UNUM INSURANCE COMPANY
08/21/2020 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
11/03/2014 LHD145
US SPECIALTY INSURANCE COMPANY
04/13/2021 PCF31516
VALLEY FORGE INSURANCE COMPANY
01/29/2014 PCF612
WELLCARE OF MAINE, INC.
04/07/2022 HMD305081 02/10/2025
WELLCARE PRESCRIPTION INSURANCE INC
12/13/2018 LHF121869 03/02/2025
WESTCHESTER FIRE INSURANCE COMPANY
03/02/2015 PCF177973 05/31/2023

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
VIRGILIO LUIS ABIERA
09/11/2019 PRN338216
VANESSA ACOSTA
08/29/2015 PRN255302
DAVID EVAN AGINS
07/05/2023 PRN146266
NICOLE AGUDELO
07/05/2023 PRN338361
VICTOR AGUILAR
08/01/2019 PRN335376
MICHAEL ALFANO
07/14/2018 PRN179888
CHRISTINE ALLEN
01/30/2014 PRN119126
ANA ALONSO
09/11/2014 PRN238177
JUDITH ALTIDOR
05/23/2023 PRN452443
JENNIFER ALVAREZ CASAS
01/22/2017 PRN281488
WAYNE ALBERT ANTHONY
11/13/2017 PRN245883
MATTHEW JOHN ARVANITES
01/30/2014 PRN129081
CECILIA ASHBURN
09/09/2019 PRN335850
CANDICE ASHLEY
01/09/2023 PRN427498
JAMIE ASHWORTH
09/29/2015 PRN257584
ABIEYUWA BABALOLA
02/11/2023 PRN443770
CHRISTOPHER BADER
04/29/2016 PRN267637
CHRIS BAILEY
09/17/2016 PRN275225
WILLIAM BAIRD
09/14/2018 PRN316979
IFE BAKARE
07/29/2022 PRN425201
DANIELLE BAKER
10/01/2024 PRN497091
DAVID BAKER
09/23/2021 PRN396883
ANTHONY BALDUS
01/30/2014 PRN130572
KATELYN BANNER
10/06/2016 PRN276446
JOSE BAQUEIRO
04/20/2024 PRN482257
CAROL BARBOSA
09/26/2017 PRN294421
SILVIA BARIONI IANEZ
10/23/2021 PRN401251
ELIZABETH BAUMAN
01/30/2014 PRN200176
WESNER BAZILE
10/17/2017 PRN296121
SHANTE BELIZAIRE
08/07/2020 PRN358341
KENDRIA BELLAMY
04/14/2023 PRN449096
EUDYS BELLO
10/04/2017 PRN295134
TREVOR BENNETT
06/15/2015 PRN220782
TANYEKA BENTLEY
07/31/2020 PRN357775
CASSIE BENTZ
09/22/2022 PRN431307
ROBIN BERGER
12/15/2014 PRN236353
CARLOS BERLANGA
08/02/2023 PRN296343
KATHARINE BERTNESS
07/25/2018 PRN313384
CHRISTOPHER BEYER
10/22/2020 PRN366457
JESSIE BINEGAR
08/11/2020 PRN358528
MELINDA BISHOP
10/15/2022 PRN434206
SUSAN BLASI
09/10/2021 PRN394980
SUSAN BEAIRD BOLES
04/05/2023 PRN368839
AARON BORG
09/21/2016 PRN275376
APOLLONIABLISS BOUYEA
06/02/2019 PRN332004
BRITTANI BOWER
06/20/2014 PRN234076
MATTHEW BOWERS
10/08/2019 PRN340526
MAUREEN BOWMAN
02/04/2016 PRN263811
PAUL BRADLEY
08/06/2015 PRN253834
KIMBERLEY BRAME
01/30/2014 PRN178629
MICHELLE M. BRANDOS
10/08/2020 PRN364422
JONATHON BREWER
05/20/2017 PRN287220
LYDIA BRINCKS
09/21/2017 PRN294179
SANDRA BRITO
09/06/2017 PRN293100
RICHARD A. BROCKLEHURST
06/15/2015 PRN88181
ANDREW BRUMMUNDT
09/27/2023 PRN464932
CHERYL BRUNELLE
08/14/2015 PRN254346
JODI BRUNGARDT
09/12/2015 PRN256317
ALEXANDER BUBKE
01/30/2014 PRN225518
HOANG BUI
10/14/2017 PRN296003
DHANNY BULA-BULA
08/30/2019 PRN337453
ELVEDIN BULJUBASIC
06/12/2014 PRN233798
AMY BURGESS
10/11/2014 PRN223677
JAMES BURNS
07/24/2020 PRN357278
CRYSTAL BURTNER
09/06/2019 PRN337827
KEIRSTIN BUSHBY
09/10/2021 PRN395213
SUSANNA BUTLER
09/20/2017 PRN294100
ALAN CAFFEY
08/28/2021 PRN393608
GERALDY PAULETTE CALLAS
08/25/2017 PRN292388
DAVID CAMPBELL
01/30/2014 PRN208831
LESLIE CAMPBELL
11/09/2022 PRN436640
ALICIA CARDENAS
09/14/2023 PRN463140
JOHN CARLEY
08/02/2019 PRN335475
LINDSAY CARR
08/09/2022 PRN426147
BRIAN MARTIN CARRAGHER
01/30/2014 PRN128346
ORLANDO CARRIZALES
10/08/2016 PRN276617
KASHIF CARSON
09/30/2017 PRN279719
TARA CARSON
08/03/2018 PRN313998
GLENN CARTER
10/17/2017 PRN296132
NAKITA CARTER
11/10/2015 PRN260074
DEUNA CARTIER
11/07/2017 PRN297655
BLANCA CASAS
10/13/2017 PRN295901
SEANN CASEY
01/30/2014 PRN218347
KEYLA CASTILLO
07/01/2015 PRN252253
YOK CHANG
03/08/2024 PRN478457
AMANDA CHAPKO
04/23/2024 PRN482319
MELISSA CLARK
09/30/2014 PRN239283
MICHELLE CLINCH
08/25/2017 PRN292361
WINIFRED COLETRANE
04/07/2023 PRN447970
NATHAN COLLINS
06/10/2017 PRN288108
QUIMYSCHA CONISH
08/22/2023 PRN460601
ROBERT COOK
10/04/2017 PRN206497
SHANTEARRA COOKE
06/09/2023 PRN453967
SEAN CORCORAN
10/04/2014 PRN239714
CARLA CORPORAN
10/02/2015 PRN257920
THALYA CORTES
08/02/2022 PRN425509
JOHN COSTELLO
07/27/2016 PRN271379
BENJAMIN COUCH
06/04/2024 PRN485654
DEBORAH COULON
10/03/2017 PRN295012
DEBORAH COYNE
05/11/2021 PRN382779
SARAH CRAWFORD
05/17/2024 PRN247005
MEGAN CRISPIN
08/01/2018 PRN313816
JEANNE CRON
11/01/2018 PRN320653
RANDY CROOKS
09/01/2015 PRN255408
COLLETTE CULLEN
03/11/2016 PRN265437
GEORGE CULPEPPER
10/07/2021 PRN398966
KATHERINE CUNNINGHAM
09/11/2015 PRN256234
ERIC DA
08/17/2019 PRN336497
DONNA DARIN-VOLZ
06/30/2023 PRN455787
CURONDA DAVIS
06/08/2019 PRN332522
KRISTIN DAVIS
01/30/2014 PRN224133
LATRICE DAVIS
08/07/2020 PRN358339
CASSANDRA DAY
07/14/2023 PRN456731
LORI LAYNE DEDORA
01/12/2023 PRN213761
LAWRENCE ALBERT DENGER
09/22/2017 PRN294243
CODY DEVORE
01/30/2014 PRN211817
DORCAS DIAZ VELEZ
03/14/2022 PRN413123
IGOR DIMITRIENKO
05/21/2020 PRN354248
ALEXANDRA DINDY
09/20/2017 PRN294091
ADAM DINGEMAN
09/10/2019 PRN267091
ANITA DOBSON
08/04/2020 PRN358032
ROBERT DONNELLY
11/07/2024 PRN187644
ANDREW DOYLE
09/29/2023 PRN465262
XZANDREA S. DRENGBERG
02/15/2020 PRN349379
FRED DREW
03/23/2016 PRN167493
SARAH DROZDZAL
05/08/2018 PRN308931
SHAWNA LYNNE DUBOIS
11/07/2024 PRN297958
BETTINA DUERKSEN
06/19/2014 PRN234057
ROBERT DUMONT
01/05/2016 PRN262393
NADINE DUNAGAN
11/01/2017 PRN297206
DONNA DUNKIN
11/03/2017 PRN297376
EATHER DUNN
10/27/2023 PRN468187
NIKITA DUPLESSY
01/30/2016 PRN263643
DIANA DURON
01/30/2014 PRN225644
KARINA DURON
08/28/2014 PRN237464
KIEL DWYER
06/05/2019 PRN332233
ARMIN DZANIC
09/10/2019 PRN248915
LEXFORD EARLE
12/30/2021 PRN406972
AMANDA EDELMAN
10/21/2022 PRN320256
JAMALL EDMOND
11/13/2015 PRN260213
CARMA EDOUARD
08/13/2015 PRN254229
JENNIFER EILANDER
02/05/2015 PRN245866
KARIM EL LABBAN
03/30/2023 PRN447702
JENNIFER ELLIOTT
08/05/2021 PRN390511
MARY EMSHEIMER
04/06/2016 PRN266644
ALAN EORIATTI
09/10/2019 PRN317264
FATIHA FAARISULLAH
09/24/2023 PRN464707
TRACEY FAENZA
01/30/2014 PRN210151
ALAN FAGAN
10/13/2017 PRN295887
STEFFI FARQUHARSON
03/27/2024 PRN480205
BRANDY GREEN FARRIOR
08/14/2020 PRN358835
CHRISTY FARRIS
08/18/2021 PRN391132
JOHN FEENEY
11/11/2017 PRN298122
BENJAMIN FEICK
09/06/2019 PRN337834
NANCY FESSLER
10/08/2019 PRN340533
KAREN FIGURELLI
08/24/2017 PRN292313
JAY FIRKINS
08/04/2020 PRN357993
LEIGH FISHER
08/27/2022 PRN428346
TRACY FISHER
01/30/2014 PRN112539
JOSEPH FITZGIBBON
03/20/2015 PRN247928
JOSEPH FONSECA
08/26/2022 PRN212345
SAPPHIRA FORD
10/19/2018 PRN319726
SHAWN C. FRANKLIN
07/14/2015 PRN125002
TAMMY FRANKLIN
10/08/2016 PRN276630
DONNA FREDERICKS
06/06/2021 PRN171514
LAUREN FREEMAN
09/13/2022 PRN429984
JESSE FUJIWARA
08/24/2017 PRN292307
RICARDO GALLINAR
11/07/2024 PRN456755
JHOSSY GARCIA
08/24/2017 PRN292319
VIRGINIA GARCIA
09/27/2019 PRN339756
AMANDARAE GAUCI
10/01/2017 PRN294901
MICHAEL GAYDOS
07/22/2017 PRN290328
SONIA GEISEL
08/17/2016 PRN272489
KENDALL GENESER
07/29/2017 PRN290751
PATRICIA GENUS
07/29/2022 PRN240020
CATHERINE GIBBONS
10/21/2017 PRN296554
BONNITA GIBSON
08/12/2023 PRN459702
TONA GILMORE
10/07/2014 PRN239794
STEVEN GINSBURG
01/30/2014 PRN226021
NANCY GIOVINO
08/17/2021 PRN391795
MEGAN GOES
07/15/2015 PRN252727
ALEXIS GONZALEZ DE MENDOZA
09/09/2019 PRN335104
MANAL GORGEY
10/04/2017 PRN295136
THOMAS GOULD
12/14/2017 PRN299751
MORANDA GRADY
06/29/2023 PRN455602
TOMMY GREEN
02/05/2015 PRN245868
VICTORIA MARIE GREEN
01/30/2014 PRN87488
HEATHER GREENWOOD
09/28/2021 PRN397419
SAMANTHA GRIFFIN
08/27/2022 PRN428386
BRIAN GRIMES
07/30/2019 PRN335214
KENNETH GRONINGA
09/04/2019 PRN337639
BERNICE GROVES
10/10/2017 PRN295550
JOSHUA GUERRA-LAU
09/30/2017 PRN294847
JOSE GUILLEN
02/12/2015 PRN246290
JORDAN GUILLMAN
01/30/2014 PRN225742
MATT HAGEN
01/30/2014 PRN205939
ALEX HAHN
08/29/2015 PRN255327
TERESA HALL
09/01/2015 PRN255387
EMILY HAMILTON
09/18/2014 PRN238562
KAITLIN HAMILTON
02/05/2018 PRN302584
HEATHER HAMLET
09/24/2015 PRN257236
BROOKLYNN HAMM
03/20/2020 PRN351505
FELISA HANSEN
01/21/2016 PRN263123
JESSICA HANSEN
07/30/2020 PRN357673
SABRINA HANSON
08/29/2023 PRN461390
PATRICIA HARDEMON
08/09/2022 PRN426146
KAYLA HARRIS
08/22/2015 PRN254818
CHELSEA HAWBAKER
09/29/2015 PRN257548
CHERYL HAYES
01/30/2014 PRN222657
LINDA HEGER
08/19/2016 PRN272716
GARY HENDERSON
08/04/2021 PRN390425
TERESA HENRY
09/07/2024 PRN494397
YVES HERARD
08/18/2021 PRN259065
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08/25/2021 PRN393165
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PHYLISS HICKS
11/16/2022 PRN437238
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07/05/2023 PRN299494
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11/04/2017 PRN297520
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CHARLES HOST
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03/01/2024 PRN477782
LORI HOWELL
10/06/2016 PRN276475
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11/03/2017 PRN297350
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01/30/2014 PRN212325
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10/04/2017 PRN272951
CLYDELL JACKSON
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TATECIA JACKSON
10/03/2017 PRN295002
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07/22/2023 PRN457581
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01/12/2023 PRN357953
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01/30/2014 PRN70726
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03/07/2024 PRN478352
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01/30/2014 PRN211792
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09/29/2021 PRN397673
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08/02/2022 PRN425505
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11/07/2024 PRN286092
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01/30/2014 PRN127802
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08/25/2015 PRN254897
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09/09/2021 PRN394714
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07/28/2020 PRN357421
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DAVID RAFDAL
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11/22/2016 PRN279033
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KARENA REINHARDT
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JANNA REX
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SHAVON RICHBURG
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MOLLY ROBBINS
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JULIE ROBERTSON
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ASHEM ROBINSON
09/26/2023 PRN405490
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01/30/2014 PRN212249
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10/05/2019 PRN340445
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08/12/2020 PRN358641
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09/23/2017 PRN294339
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02/02/2017 PRN281998
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05/24/2018 PRN309941
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08/25/2017 PRN292371
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01/30/2014 PRN221104
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06/14/2019 PRN332790
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10/15/2015 PRN258635
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09/01/2021 PRN394007
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01/30/2014 PRN224345
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01/30/2014 PRN221413
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08/12/2022 PRN425738
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09/21/2023 PRN464322
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01/30/2014 PRN212360
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ALEIDA SIDNEY
07/28/2020 PRN357401
SHANNON SIETMANN
07/25/2020 PRN357344
SHANE SIEVERS
12/30/2014 PRN244098
SCOTT SILVERMAN
07/31/2019 PRN335307
TAYLA SIMMONS
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08/05/2022 PRN424904
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08/27/2021 PRN393486
JAMES SIRMAN
08/27/2021 PRN393552
RICHARD SKELLY
03/19/2021 PRN378074
BRIAN SLACK
08/10/2019 PRN289586
DANIEL SLATER
01/30/2014 PRN187234
AMANDA SMANIOTTO
12/04/2015 PRN261271
JACOB SMITH
10/14/2017 PRN296021
JEFFERY SMITH
10/12/2016 PRN276814
JOSHUA SNYDER
07/29/2020 PRN324377
EMMA SOLIS
07/30/2019 PRN335239
SALEUMPHON SOURIYAVONGSA
07/08/2015 PRN252451
CERISE SPAIN
09/26/2014 PRN239132
JANELLE SPARKS
09/11/2019 PRN338190
ROBERT SPENCER
08/06/2020 PRN358233
KELLY SPOONER
02/10/2015 PRN246148
STEVEN STACHURA
11/07/2024 PRN333141
LYNNE STEBBINS
05/03/2014 PRN232318
ERIC STEIN
09/29/2017 PRN294697
CYNTHIA STEVENS
08/04/2020 PRN358089
PAMELA STICE
01/30/2014 PRN193563
BETTY STIGLEMAN
09/11/2015 PRN256204
DONNA STOUT
09/15/2018 PRN317012
NICOLA STRAKER
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TONYA STRUVE
11/10/2015 PRN260075
KARLA STRYNADKA
10/30/2011 PRN196583
ANDRO SULKHANISHVILI
10/28/2017 PRN297011
RYAN SULLIVAN
08/17/2018 PRN314996
GABRIEL SWERSIE
01/30/2014 PRN194151
BRADFORD ERVIN SYLVESTER
01/30/2014 PRN57273
KRISTY TAYLOR
10/22/2019 PRN342194
LINDSAY TAYLOR
09/14/2023 PRN463173
TIARA TERRIO
08/25/2017 PRN292372
ILAN TESONE
07/12/2022 PRN423437
MARY-ANNE TEXIER
11/03/2017 PRN297468
DORIS THOMAS
12/08/2023 PRN318490
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09/09/2023 PRN462631
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TERESA THOMAS
08/06/2019 PRN335646
MARK THOMPSON
09/19/2020 PRN361778
MICHAEL THORSEN
04/19/2017 PRN236015
JANA MACKENZIE THORSON
09/13/2017 PRN293566
HOPE THREATS
08/31/2021 PRN393819
MARK TICE
01/30/2014 PRN145431
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10/28/2017 PRN297000
CHRISTINA TIENDA
12/01/2015 PRN261023
AMY TISCHER
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RENEE TOLIVOUR
12/08/2023 PRN471505
VELVET TRAVET
07/21/2020 PRN240956
YOALI TREJO LABRA
08/20/2016 PRN272846
MICHAEL TREVINO
10/07/2014 PRN239751
JESSICA TROTTIER
03/04/2016 PRN265094
STEFANY TRUESDELL
08/30/2017 PRN292720
NANCY TRZUSKOWSKI
11/07/2024 PRN347301
SHIRLEY TUCKER
10/14/2015 PRN258526
ANDREA TULLO
02/21/2025 PRN508514
JOHN TURNER
02/03/2023 PRN439073
JORGE VALENCIA
09/27/2019 PRN339764
MARIE VALENTIN
08/12/2015 PRN254123
BALITA M. VALENTINE WALLACE
01/30/2014 PRN87683
CRISTINA VALENZUELA
07/28/2017 PRN290657
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09/27/2014 PRN239197
THAYMI VILLALONA
10/04/2017 PRN295106
ESPY VYIZIGIRO
07/20/2018 PRN313135
ALEXIS WADE
08/22/2018 PRN315350
MARKEL WALKER
02/12/2016 PRN264200
PAUL WARNER
08/17/2021 PRN391851
LISA WEIR
10/27/2014 PRN241083
LYNNANN WEISS
10/05/2017 PRN295187
TIA WELLS
10/14/2016 PRN276987
BRENDA WELTHA
10/15/2022 PRN434207
CRYSTAL WEST
06/07/2018 PRN310784
BRADLEY WESTON
06/03/2017 PRN287790
CHAUNTIA WHITE
10/01/2015 PRN257783
TIMOTHY WILBORN
06/16/2017 PRN188471
ADREINA WILLIAMS
10/04/2017 PRN295096
DAVID WILLIAMS
10/26/2017 PRN296867
JAMES WILLIAMS
01/30/2014 PRN58221
JOHN WILLIAMS
09/08/2020 PRN353572
MARC WILLIAMS
09/08/2023 PRN462512
SHANTISE WILLIAMS
09/28/2017 PRN294618
SHAWNNITTA WILLIAMS
10/09/2015 PRN258283
GARRET WILSON
05/20/2017 PRN287210
KRISTA WISEMAN
01/30/2014 PRN221329
JOHN CAVIN WITHERSPOON
03/18/2019 PRN157633
DALTON WOLF
07/27/2019 PRN335119
WENDEE WOOD
04/02/2016 PRN266501
LINDSEY WOODS
10/18/2023 PRN467194
PRINCE WORTHINGTON
08/02/2022 PRN425506
JUSTIN WRIGHT
07/15/2023 PRN130927
JAMIA YARBROUGH
07/26/2022 PRN424812
TONETTE YATSUHASHI
10/15/2015 PRN258640
KATHERINE YOHN
06/15/2015 PRN159399
ELIZABETH YOUNG
11/30/2017 PRN299038
LATOSHA ZANDERS
08/12/2022 PRN426582
DENNYS ZELAYA
10/07/2016 PRN276571
HENRY ZELAYA
09/07/2021 PRN394520
PAUL HOWARD ZIDE
09/20/2016 PRN251170

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None.

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Name License Number
SIMON CAMAJ PRN169826

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None.

GENERAL INFORMATION

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National Producer Number (NPN):
8887245

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: 05/14/2025 03:55:24 PM