black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAY S. GORDON

PRODUCER NON-RESIDENT

License Number:
PRN512220
Status:
First Licensure:
04/05/2025
Cancel Date:
None

Mailing:
COHASSET, MA 02025
Phone:
+1 (508) 621-5700
Fax:
+1 (508) 621-5655
Email:
jay.gordon@ampf.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/05/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
MIDLAND NATIONAL LIFE INSURANCE COMPANY
07/29/2025 LHF960

Authority

Description Issue Date Termination Date Status
HEALTH 04/05/2025 Active
LIFE 04/05/2025 Active
VARIABLE CONTRACTS 04/05/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5927628

Other Addresses

Address Type
25 RECREATION PARK DR STE 100
HINGHAM, MA 02043-4255
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: 06/15/2026 10:07:45 PM