Ohio Department of Insurance Individual License Details

Name:
NPN#:
 
Contact Information
Business Location Phone
614-269-0195
Fax Number
614-269-0199
Mailing Licensing Address
81 MILL STREET, SUITE 100
GAHANNA, OH 43230
Business Licensing Address
81 MILL STREET, SUITE 100
GAHANNA, OH 43230
Additional Contact Information
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Agent Printable License
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Agent Printable CE Transcript
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License Information
License # License (Lines of Authority) Status Reason Originally Issued Effective Date End/Expiration Date
1342832 Individual - Resident - Major Lines Cancelled Non-renewal 02/05/2021 08/31/2023 08/31/2022
  • Accident & Health
Inactive 02/05/2021 08/31/2023  
  • Life
Inactive 02/05/2021 08/31/2023  
  • Variable
Inactive 02/05/2021 08/31/2023  
Alias Information
No alias information exists for the licensing entity.
Appointment Information
To view one insurance company appointment at a time, select a company from the drop down list, then click the "Click to Load" button. (Please note: an insurance company's name will appear in the drop down list if there has been any appointment transaction with the company.)

To view multiple insurance company appointments, click the "View All" button. (Please note: the search results are limited to a maximum of approximately 500 appointment transactions - current and terminated. Use the single company appointment search for appointment transactions that do not appear on the view all results. This feature may take some time to load.)

Appointment Companies:
Individual Associations
Click the Click to Load button to view this agent's individual associations.
Version: Release-30