Self-Serve Website
Reports & Lists
Search Bulletins
Search Health Rates
Search Title Rates
P&C Rate Filings
Verify a License
Petplace Insurance Agency, LLC
Address:
11333 N. SCOTTSDALE ROAD
SCOTTSDALE, AZ 85254
Phone
626-251-8869
URL:
Email:
licensing@independenceamerican.com
National Producer Number:
21446387
ButtomHolder
New Search
License Information
License Type
License Number
Original Issue Date
Status
Effective Date
Expiration Date
Non-Res. Producer Firm
4107562
04/30/2025
Active
04/30/2025
04/30/2028
Qual Information
Qualification Type
Original Issue Date
Status
Effective Date
Casualty
04/30/2025
Active
04/30/2025
Property
04/30/2025
Active
04/30/2025
1 Appointments
11242
Company Name
Appointment Type
Status
Active Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
Casualty
Active
08/06/2025
Property
Active
08/06/2025
row(s) 1 - 2 of 2
2 Individual Associations
Name
Association Type
Agent
Begin Date
End Date
MELISSA GUSS
Designated Resp Lic Prdcr
Yes
11/03/2025
-
MONIQUE MICHELLE ROSAS
Designated Resp Lic Prdcr
No
04/30/2025
-
1 - 2