Individual Information

JUAN A CAMPBELL

Address:

SPRINGFIELD, MA 01115-5369

Status:

Active

Email:

jacqueline.campbell@medpro.com

Date:

07/18/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3171112	07/18/2016	Active	07/18/2016	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/18/2016	Active	07/18/2016
Health	04/29/2024	Active	04/29/2024
Property	07/18/2016	Active	07/18/2016

Company Name	Appointment Type	Status	Active Date
1705
WELLFLEET INSURANCE COMPANY	Health	Active	05/31/2024

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Organization	Association Type	Type	Beg dte	End dte
WELLFLEET BENEFITS, LLC	Designated Resp Lic Prdcr	Agency	07/14/2021	-

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