black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN DAVID WILLIAMS

PRODUCER NON-RESIDENT

License Number:
PRN223273
Status:
First Licensure:
10/11/2013
Cancel Date:
None

Mailing:
NEWTON, MA 02462
Phone:
+1 (781) 237-0123
Fax:
+1 (781) 237-1696
Email:
johnw@capformgroup.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/11/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
EXECUTIVE INSURANCE AGENCY INC
03/22/2019 AGN59547

Employer

Name Issue Date License Number Expiration Date Cancel Date
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
04/01/2015 LHF210 11/19/2017
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
11/13/2013 LHF619 04/30/2026
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
07/20/2015 LHF161852
PRUCO LIFE INSURANCE COMPANY
12/19/2016 LHF768

Authority

Description Issue Date Termination Date Status
HEALTH 10/11/2013 Active
LIFE 10/11/2013 Active
VARIABLE CONTRACTS 10/11/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
574508

Other Addresses

Address Type
NEWTON, MA 02462
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: 05/30/2026 08:38:02 PM