black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEBRA S. KAMIKOW

PRODUCER NON-RESIDENT

License Number:
PRN161830
Status:
First Licensure:
12/23/2008
Cancel Date:
None

Mailing:
WOODBRIDGE, NJ 07095
Phone:
+1 (973) 531-2290
Fax:
+1 (860) 754-2156
Email:
debra@campbellpetrie.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/23/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
PATRIOT GROWTH INSURANCE SERVICES, LLC
03/14/2019 AGN313383

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
01/12/2009 HMD45749 10/14/2009
AETNA LIFE INSURANCE COMPANY
01/12/2009 LHF621 10/14/2009

Authority

Description Issue Date Termination Date Status
HEALTH 12/23/2008 Active
LIFE 12/23/2008 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2672861

Other Addresses

Address Type
WOODBRIDGE, NJ 07095
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: 05/14/2025 02:02:53 PM