Search → VIRGIL INSURANCE AGENCY, LLC
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
VIRGIL INSURANCE AGENCY, LLC
NON-RESIDENT PRODUCER AGENCY
License Number:
AGN374723
Status:
First Licensure:
02/06/2021
Cancel Date:
None
Renewal Date:
04/01/2027
Street Location:
38 KEYES AVE STE 208
SAN FRANCISCO, CA 94129-1757
SAN FRANCISCO, CA 94129-1757
Mailing:
38 KEYES AVE STE 208
SAN FRANCISCO, CA 94129-1757
SAN FRANCISCO, CA 94129-1757
Phone:
+1 (888) 346-6313
Fax:
+1 (415) 991-6313
Email:
dan@virgilinsurance.com
| License Type | Start Date | End Date |
|---|---|---|
| NON-RESIDENT PRODUCER AGENCY | 02/06/2021 | 04/01/2027 |
| Name |
|---|
| FAIR SQUARE MEDICARE |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| PETER W. AUSTIN |
09/06/2023 | PRN413498 | ||
| LAURIE JEAN BORTOLOTTI |
09/06/2023 | PRN412728 | ||
| STEVEN JOSEPH BOWMAN |
09/06/2023 | PRN357315 | ||
| WAINE BRESKY |
09/06/2023 | PRN437727 | ||
| CHRISTOPHER BRYANT |
09/06/2023 | PRN336116 | ||
| LEIF DANIEL CARLSON |
09/06/2023 | PRN432427 | ||
| JOSEPH ANTHONY CASAMASSIMA |
09/06/2023 | PRN390205 | ||
| SCOTT ROBERT COLE |
09/06/2023 | PRN412861 | ||
| THERESA LYNN HYDER |
09/06/2023 | PRN315231 | ||
| THOMAS CHRISTOPHER KUNST |
09/06/2023 | PRN428561 | ||
| STEPHEN LEE |
09/06/2023 | PRN267379 | ||
| DANIEL PETKEVICH |
02/06/2021 | PRN297835 | ||
| PETER LEIJA TAMAYO |
09/06/2023 | PRN172695 | ||
| LARRY LATEEF WATTERS |
09/06/2023 | PRN291432 | ||
| MINDY MILLER WISDAHL |
09/06/2023 | PRN409681 |
Branch Office
None.
Supervised Entity
None.
| Name | License Number |
|---|---|
| DANIEL PETKEVICH | PRN297835 |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
19464737
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 04:16:12 PM
