black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GAVIN THOMAS FAULKNER

PRODUCER NON-RESIDENT

License Number:
PRN513592
Status:
First Licensure:
04/22/2025
Cancel Date:
None

Mailing:
HAMBURG, NY 14075
Phone:
+1 (716) 305-8343
Email:
gfaulkner4747@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/22/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
PRUDENTIAL INS AGENCY LLC
04/24/2025 AGN121102

Employer

Name Issue Date License Number Expiration Date Cancel Date
PRUCO LIFE INSURANCE COMPANY
04/23/2025 LHF768
PRUDENTIAL INSURANCE COMPANY OF AMERICA
04/23/2025 LHF252

Authority

Description Issue Date Termination Date Status
HEALTH 04/22/2025 Active
LIFE 04/22/2025 Active
VARIABLE CONTRACTS 04/22/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21031811

Other Addresses

Address Type
6455 LAKE AVE STE D
ORCHARD PARK, NY 14127-1254
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: 05/15/2025 01:18:53 AM