black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DIVERSIFIED BROKERAGE SERVICE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN39624
Status:
First Licensure:
06/09/1994
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
5501 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416-2901
Mailing:
5501 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416-2901
Phone:
+1 (612) 861-2200
Fax:
+1 (952) 697-5001
Email:
dawng@dbs-lifemark.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/09/1994 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRIGHTHOUSE LIFE INSURANCE COMPANY
01/30/2003 LHF277
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY
10/23/2008 LHF407 01/22/2024
FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INS CO
01/04/2002 LHF170 05/25/2007
FIRST COLONY LIFE INSURANCE COMPANY
06/20/1994 LHF175 01/01/2007
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
01/01/2007 LHF966 10/29/2009
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
11/10/1998 LHF619
METLIFE INVESTORS USA INSURANCE COMPANY
11/08/2005 LHF934 11/12/2009
METLIFE LIFE AND ANNUITY COMPANY OF CONNECTICUT
01/30/2003 LHF50128 12/07/2007
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
02/11/2021 LHF62021
PACIFIC LIFE INSURANCE COMPANY
03/28/2006 LHF237 01/28/2009
PACIFIC LIFE INSURANCE COMPANY
05/20/2009 LHF237 06/19/2013
PACIFIC LIFE INSURANCE COMPANY
07/13/2018 LHF237
PROTECTIVE LIFE INSURANCE COMPANY
04/07/2021 LHF888
PRUCO LIFE INSURANCE COMPANY
08/28/2006 LHF768
STATE LIFE INSURANCE COMPANY
08/29/2016 LHF984
UNITED OF OMAHA LIFE INSURANCE COMPANY
02/24/1995 LHF28 03/06/2019
WESTERN NATIONAL LIFE INSURANCE COMPANY
12/12/2000 LHF50722 08/01/2008

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
GEORGE CROSS VANDUSEN
10/30/2009 PRN171905

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
GEORGE CROSS VANDUSEN PRN171905

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
654480

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: 01/28/2026 02:00:15 PM