black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PATRICK MICHAEL FULLER

PRODUCER NON-RESIDENT

License Number:
PRN85568
Status:
First Licensure:
05/09/2002
Cancel Date:
None

Mailing:
NEWBURYPORT, MA 01950
Phone:
+1 (978) 465-0037
Fax:
+1 (978) 462-4386
Email:
pat@portwealth.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/09/2002

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERIPRISE FINANCIAL SERVICES LLC
05/09/2002 AGN55156 04/30/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
C M LIFE INSURANCE COMPANY
10/21/2003 LHF906 07/26/2010
EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA
12/05/2014 LHF874
FIRST COLONY LIFE INSURANCE COMPANY
07/10/2003 LHF175 01/01/2007
GENWORTH LIFE INS CO
12/02/2002 LHF46264 05/14/2012
GENWORTH LIFE INS CO
01/23/2015 LHF46264 04/15/2016
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
10/21/2003 LHF17 07/26/2010
PRINCIPAL LIFE INSURANCE COMPANY
10/08/2003 LHF406 07/10/2009
RIVERSOURCE LIFE INSURANCE COMPANY
05/09/2002 LHF200 01/15/2015

Authority

Description Issue Date Termination Date Status
HEALTH 05/09/2002 Active
LIFE 05/09/2002 Active
VARIABLE CONTRACTS 05/09/2002 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5405827

Other Addresses

Address Type
NEWBURYPORT, MA 01950
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: 05/24/2025 07:44:37 AM