black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EMILY MARIE SHAW

PRODUCER NON-RESIDENT

License Number:
PRN304010
Status:
First Licensure:
02/27/2018
Cancel Date:
None

Mailing:
SARASOTA, FL 34236
Phone:
+1 (941) 377-4842
Fax:
+1 (941) 379-2668
Email:
eshaw@chemplan.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/27/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
CRC INSURANCE SERVICES LLC
12/13/2022 AGN38700
PROGRAM INS MANAGEMENT OF SARASOTA INC
02/27/2018 AGN163156 07/01/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL SPECIALTY INSURANCE COMPANY
03/12/2018 PCF94585 04/03/2020
STAR INSURANCE COMPANY
03/08/2018 PCF59785 04/03/2020
STATE NATIONAL INSURANCE COMPANY INC.
03/12/2018 PCF75933 04/03/2020

Authority

Description Issue Date Termination Date Status
CASUALTY 02/27/2018 Active
PROPERTY 02/27/2018 Active
SURPLUS LINES 03/23/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18694694

Other Addresses

Address Type
8121 VICELA DR
SARASOTA, FL 34240-1431
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: 06/28/2025 04:27:43 AM