DEPARTMENT OF INSURANCE

Name	Sullivan, Joseph William	DOIID	526449	NAIC NPN	3854100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	11/28/2001	5/31/2018
Inactive	Non Resident	Agent	Health	5/21/2001	5/31/2020
Inactive	Non Resident	Agent	Life	5/21/2001	5/31/2020
Denied	Non Resident	Managing General Agent	Not Applicable

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	34 Coventry Rd Worcester, MA 016062133
Residence	Not Public Information

Internet Information

Type	Address
Business Email	lcardin@gwigroup.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(857) 277-6700