Individual Information

DAVID J SUSSMAN

ORANGE, CT 06477-7500

Active

pfplicensingandcemailgroup@familysecurityplan.com

05/20/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	1036926	05/20/2015	Active	05/20/2015	05/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	05/20/2015	Active	05/20/2015
Life	05/20/2015	Active	05/20/2015

Company Name	Appointment Type	Status	Active Date
1190
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK	Life	Active	05/28/2015

row(s) 1 - 1 of 1

Organization	Association Type	Type	Beg dte	End dte
SCHMITT SUSSMAN ENTERPRIZES INC	Designated Resp Lic Prdcr	Agency	02/18/2021	-

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