EDWARD D GILLEN II

Agent ID:	10325515
National Producer ID:	8194642
Mailing Address:	400 VILLAGE PKWY NE APT 125
	ATLANTA, GA 30306-4361
Resident State:	GA
Phone:	404-550-5561

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	3/19/2014	3/31/2026

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	3/19/2014
Casualty	3/19/2014
Life	3/19/2014
Property	3/19/2014

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
7700132	Ameritas Life Insurance Corp.	7/25/2021
1300013	NORCAL Insurance Company	6/23/2017