COMMONWEALTH OF MASSACHUSETTS DIVISION OF INSURANCE PRODUCER LICENSING 1000 Washington Street, Suite 810 Boston, MA 02118-6200 FAX (617) 753-6883 http://www.mass.gov/doi Massachusetts Licensed Surplus Lines Brokers - Individuals September 05, 2021 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date ABDELNOUR, CHRISTINE 05301- 1 2070101 09/17/2018 09/17/2021 999 Putney Rd Brattleboro VT 603-762-6497
[email protected] NICOLE 5101 Arthur J Gallagher Risk 33166- 2 2148852 04/29/2021 04/29/2022 Abella, Antonio Luis Management Services Inc, 8333 Doral FL 305-666-4191 4789 NW 53rd St Ste 600 60601- 3 1836554 06/01/2007 06/01/2022 Ackerman, Samuel M 200 E Randolph St Ste 800 Chicago IL 847-913-6672 6419 Risk Placement Services, Inc., 30009- 4 1827607 09/27/2006 09/27/2022 Adair, Stephen Todd Alpharetta GA 770-829-3363
[email protected] 2400 Lakeview Pkwy Ste 675 7902 54660- 5 2153518 06/16/2021 06/16/2022 ADAMCZAK, LEIGH ANN 1021 N SUPERIOR AVE STE 4 TOMAH WI 608-377-7240 1192 02109- 6 1894859 01/03/2011 01/03/2022 Adams, Kristin J 53 State St Ste 2201 Boston MA 617-571-5668 2820 Scu Orlando, 240 E Central Pkwy Altamonte 32701- 7 1951206 02/26/2014 02/26/2022 Adams, Philip Edward FL 407-678-8771
[email protected] Ste 3000 Springs 7848 60606- Tim.adams@bgc- 8 1949009 01/21/2014 01/21/2022 ADAMS, TIMOTHY 222 W Adams St Chicago IL 773-490-6210 5312 insurance.com 30326- 9 1919450 07/30/2012 07/30/2022 Addison Stewart, Kasey 3560 Lenox Rd Ne Atlanta GA 904-334-1601 4266 85254- 10 1889352 09/27/2010 09/27/2022 Adler, Marc R 14631 N Scottsdale Rd Ste 150 Scottsdale AZ 480-296-7103
[email protected] 2785 SWETT & CRAWFORD OF 85254- 11 2002329 04/29/2016 04/29/2022 ADOLPHSEN, JENNIFER GEORGIA, INC., 16100 N 71ST SCOTTSDALE AZ 602-404-7803
[email protected] 2236 ST STE 150 Breach Insurance Solutions, Inc., 02466- 12 2158195 08/04/2021 08/04/2022 Aejaz, Eyhab M.