black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SULLIVAN INSURANCE INC..

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN330508
Status:
First Licensure:
05/02/2019
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
30 CENTRAL AVE
MILTON, MA 02186-2905
Mailing:
30 CENTRAL AVE
MILTON, MA 02186-2905
Phone:
+1 (617) 698-3838
Fax:
+1 (617) 698-7758
Email:
mark@sullivani.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/10/2024 04/01/2025
*** NOT ACTIVE *** 07/01/2021 07/09/2024
NON-RESIDENT PRODUCER AGENCY 05/02/2019 06/30/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
05/03/2019 PCF396 07/01/2021
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
07/12/2024 PCF396
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
05/03/2019 PCF79 07/01/2021
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
07/12/2024 PCF79

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MARK V. SULLIVAN
07/10/2024 PRN325789

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MARK V. SULLIVAN PRN325789

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8840620

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 12:26:12 PM