KIMBERLY BROCCOLI-SANTOS

Agent ID:	10502062
National Producer ID:	16873296
Mailing Address:	10 AMICA CENTER BLVD
	LINCOLN, RI 02865-1165
Resident State:	RI
Phone:	800-234-5433

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	8/22/2017	11/30/2026

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
Life	8/22/2017

Agent Appointments

1 Records Found

License Number	Company Name	Issue Date
8100162	Amica Life Insurance Company	8/28/2017