black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HALEY SULLIVAN

PRODUCER NON-RESIDENT

License Number:
PRN420613
Status:
First Licensure:
06/09/2022
Cancel Date:
None

Mailing:
JEFFERSON CITY, MO 65101
Phone:
+1 (573) 206-8272
Fax:
+1 (866) 877-6250
Email:
haley.sullivan@goosehead.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/09/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
07/05/2022 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
07/05/2022 PCF223935
AMCO INSURANCE COMPANY
07/05/2022 PCF223938
BRISTOL WEST INSURANCE COMPANY
11/06/2024 PCF78370
DEPOSITORS INSURANCE COMPANY
07/05/2022 PCF223940
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/06/2024 PCF445
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
07/05/2022 PCF151937
NATIONWIDE ASSURANCE COMPANY
07/05/2022 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
07/05/2022 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
07/05/2022 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
07/05/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
07/05/2022 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
07/05/2022 PCF151089

Authority

Description Issue Date Termination Date Status
CASUALTY 06/09/2022 Active
PROPERTY 06/09/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20073152

Other Addresses

Address Type
525 E MCCARTY ST
JEFFERSON CITY, MO 65101-3322
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: 06/09/2025 08:06:23 AM