black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FLORENTINO BONIFACIO VERSOZA

PRODUCER NON-RESIDENT

License Number:
PRN184498
Status:
First Licensure:
11/10/2010
Cancel Date:
None

Mailing:
CANBY, OR 97013
Phone:
+1 (971) 276-5012
Fax:
+1 (503) 274-9551
Email:
tcversoza1@outlook.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/10/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEFFERNAN INSURANCE BROKERS
11/10/2010 AGN99718 03/02/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
12/14/2010 LHF804 10/13/2020
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
12/14/2010 LHF644
STANDARD INSURANCE COMPANY
12/24/2010 LHF991

Authority

Description Issue Date Termination Date Status
HEALTH 11/10/2010 Active
LIFE 11/10/2010 Active
INDEPENDENT PRODUCER 11/10/2010 09/28/2011 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
775923

Other Addresses

Address Type
4932 S 18TH DR
RIDGEFIELD, WA 98642-7178
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: 04/14/2026 08:03:08 AM