black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MAURIE LASTENIA VELASQUEZ

PRODUCER NON-RESIDENT

License Number:
PRN389745
Status:
First Licensure:
07/29/2021
Cancel Date:
None

Mailing:
BERWYN, IL 60402
Phone:
+1 (312) 935-3500
Fax:
+1 (312) 935-3500
Email:
maurie.velasquez@axa-assistance.us

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/29/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AXA ASSISTANCE USA INC
07/29/2021 AGN133955

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE MUTUAL INSURANCE COMPANY
10/09/2024 PCF32
STARR INDEMNITY & LIABILITY COMPANY
10/28/2025 PCF1010
UNITED STATES FIRE INSURANCE COMPANY
09/23/2021 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 07/29/2021 Active
HEALTH 07/29/2021 Active
LIFE 07/29/2021 Active
PROPERTY 07/29/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19943828

Other Addresses

Address Type
2 PRUDENTIAL PLAZA - AXA ASSISTANCE USA INC
180 N STETSON AVE STE 3650
CHICAGO, IL 60601-6709
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: 06/14/2026 05:28:04 AM