DEPARTMENT OF INSURANCE

Name	Long, Brian R	DOIID	1064831	NAIC NPN	8225419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/11/2019	9/30/2024
Active	Non Resident	Agent	Casualty	1/21/2020	9/30/2024
Active	Non Resident	Agent	Life	11/11/2019	9/30/2024
Active	Non Resident	Agent	Property	11/11/2019	9/30/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	111 Rose Of Sharon Jacksonville, IL 626506530
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(217) 371-5545