black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON THOMAS GAMBONINI

PRODUCER NON-RESIDENT

License Number:
PRN298336
Status:
First Licensure:
11/15/2017
Cancel Date:
None

Mailing:
RALEIGH, NC 27612
Phone:
+1 (919) 341-0753
Email:
jgambonini@scottins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/15/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
JAMES A SCOTT & SON INC
11/15/2017 AGN43859

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
01/03/2025 PCF86149

Authority

Description Issue Date Termination Date Status
CASUALTY 11/15/2017 Active
PROPERTY 11/15/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8869774

Other Addresses

Address Type
2501 BLUE RIDGE RD STE 250
RALEIGH, NC 27607-6346
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: 06/29/2025 03:12:01 PM