black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BLAINE STEVEN MORTENSEN

PRODUCER NON-RESIDENT

License Number:
PRN516207
Status:
First Licensure:
05/21/2025
Cancel Date:
None

Mailing:
CANANDAIGUA, NY 14424
Phone:
+1 (585) 721-0416
Fax:
+1 (877) 581-4972
Email:
blaine@ryansanz.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/21/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYCHEX INSURANCE AGENCY INC
05/27/2025 AGN56888

Employer

None.

Authority

Description Issue Date Termination Date Status
HEALTH 05/21/2025 Active
LIFE 05/21/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18531446

Other Addresses

Address Type
225 KENNETH DR
ROCHESTER, NY 14623-4277
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: 10/13/2025 05:19:50 AM