black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL SYRUS PELTIER

PRODUCER NON-RESIDENT

License Number:
PRN269769
Status:
First Licensure:
06/17/2016
Cancel Date:
None

Mailing:
MILTON, MA 02186
Phone:
+1 (617) 435-0415
Fax:
+1 (857) 220-3011
Email:
peltier@peltierinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/17/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
M S PELTIER INS SERVICES LLC
06/23/2016 AGN269981

Employer

Name Issue Date License Number Expiration Date Cancel Date
WEST AMERICAN INSURANCE COMPANY
12/15/2017 PCF200576

Authority

Description Issue Date Termination Date Status
CASUALTY 06/17/2016 Active
PROPERTY 06/17/2016 Active

Responsible For

Name License Number
M S PELTIER INS SERVICES LLC AGN269981

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7433518

Other Addresses

Address Type
3 ALLIED DR STE 303
DEDHAM, MA 02026-6148
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: 06/20/2025 10:16:57 AM