black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CANDY RENA SULLIVAN

PRODUCER NON-RESIDENT

License Number:
PRN444216
Status:
First Licensure:
02/16/2023
Cancel Date:
None

Mailing:
COVINGTON, GA 30014
Phone:
+1 (770) 483-4134
Fax:
+1 (770) 922-1514
Email:
bia.licensing@insuritas.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/16/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
03/01/2023 PCF155357
ALLIED INSURANCE COMPANY OF AMERICA
04/28/2025 PCF216138
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
03/29/2023 PCF864
ALLSTATE INDEMNITY COMPANY
03/29/2023 PCF522
ALLSTATE INSURANCE COMPANY
03/29/2023 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
03/29/2023 PCF84066
EMPLOYERS ASSURANCE COMPANY
04/27/2023 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
04/27/2023 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
04/27/2023 PCF285637
HARLEYSVILLE INSURANCE COMPANY
04/28/2025 PCF129870
HARLEYSVILLE PREFERRED INSURANCE COMPANY
04/28/2025 PCF128998
HARLEYSVILLE WORCESTER INSURANCE COMPANY
04/28/2025 PCF908
NATIONAL SPECIALTY INSURANCE COMPANY
11/28/2023 PCF94585 03/04/2025
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
04/28/2025 PCF151937
NATIONWIDE ASSURANCE COMPANY
04/28/2025 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
04/28/2025 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
04/28/2025 PCF422
NATIONWIDE MUTUAL INSURANCE COMPANY
04/28/2025 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
04/28/2025 PCF151089
PROGRESSIVE NORTHERN INSURANCE COMPANY
03/08/2024 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/08/2024 PCF27738
STATE NATIONAL INSURANCE COMPANY INC.
11/28/2023 PCF75933 03/04/2025

Authority

Description Issue Date Termination Date Status
CASUALTY 02/16/2023 Active
PROPERTY 02/16/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9458522

Other Addresses

Address Type
WALLY TAYLOR STATE FARM
885 HONEY CREEK RD SE
CONYERS, GA 30094-2847
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: 05/14/2025 11:19:19 PM