black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DIANE BETH PAGE

PRODUCER NON-RESIDENT

License Number:
PRN232126
Status:
First Licensure:
04/30/2014
Cancel Date:
None

Mailing:
PLYMOUTH, MI 48170
Phone:
+1 (732) 523-5043
Fax:
+1 (732) 523-5043
Email:
dianep@petbenefits.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/30/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
DVM INSURANCE AGENCY
04/30/2014 AGN27317 08/09/2018
PET ASSURE CORP
08/28/2018 AGN314774

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PET INSURANCE COMPANY
01/31/2019 PCF204502
INDEPENDENCE AMERICAN INSURANCE COMPANY
08/15/2023 PCF86149
NATIONAL CASUALTY COMPANY
05/30/2014 PCF85 12/13/2018

Authority

Description Issue Date Termination Date Status
CASUALTY 04/30/2014 Active
PROPERTY 04/30/2014 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17247106

Other Addresses

Address Type
211 BOULEVARD OF AMERICAS STE 403
LAKEWOOD, NJ 08701-4778
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: 05/21/2025 10:00:47 AM