black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GOOD DOG INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN408435
Status:
First Licensure:
01/20/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
222 S MAIN ST FL 5
SALT LAKE CITY, UT 84101-2185
Mailing:
120 BROADWAY FL 12
NEW YORK, NY 10271-1401
Phone:
+1 (855) 446-6336
Fax:
+1 (855) 446-6336
Email:
davidl@gooddog.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/20/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
09/01/2023 PCF86149

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
STEPHEN BLACK
09/22/2023 PRN463110
DAVID LANGTON
01/20/2022 PRN408070

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID LANGTON PRN408070

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20207078

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: 05/14/2025 05:32:10 AM