black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE RENE FOWLER

PRODUCER NON-RESIDENT

License Number:
PRN195140
Status:
First Licensure:
09/30/2011
Cancel Date:
None

Mailing:
PEKIN, IL 61558
Phone:
+1 (309) 346-1161 x2614
Fax:
+1 (309) 346-1161 x2614
Email:
mrfowler@pekininsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/30/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
EYEMED VISION CARE LLC
03/18/2013 AGN115065 04/23/2019

Employer

Name Issue Date License Number Expiration Date Cancel Date
COMBINED INSURANCE COMPANY OF AMERICA
11/15/2011 LHF144
FIDELITY SECURITY LIFE INSURANCE COMPANY
11/14/2011 LHF972 11/19/2019

Authority

Description Issue Date Termination Date Status
HEALTH 09/30/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15648136

Other Addresses

Address Type
PEKIN, IL 61558
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: 03/04/2026 11:22:57 AM