black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DALE RUSSELL COUNTRYMAN

PRODUCER NON-RESIDENT

License Number:
PRN354460
Status:
First Licensure:
05/29/2020
Cancel Date:
None

Mailing:
SPOKANE, WA 99208
Phone:
+1 (865) 777-6121
Fax:
+1 (877) 706-8586
Email:
ltravel@travelers.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/29/2020

Agency

None.

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 05/29/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19500148

Other Addresses

Address Type
2420 LAKEMONT AVE STE 210
ORLANDO, FL 32814-6165
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: 10/20/2025 01:50:38 PM