DEPARTMENT OF INSURANCE

Name	Wilson, Jared Rustin	DOIID	1093125	NAIC NPN	17335316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	8/10/2020	10/31/2021

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

No License Renewal Information

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	5225 Las Colinas Blvd Apt 3060 Irving, TX 750394571
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 795-7629