DEPARTMENT OF INSURANCE

Affiliations

Name	Lichtman, Jason Harry	DOIID	866701	NAIC NPN	16570615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/23/2015	6/30/2018
Inactive	Non Resident	Agent	Life	1/23/2015	6/30/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carpenter Marsh Fac Re LLC.	822343	Agent - Life	9/15/2016	6/30/2018
Inactive	Carpenter Marsh Fac Re LLC.	822343	Agent - Health	9/15/2016	6/30/2018