DEPARTMENT OF INSURANCE

Name	Rose, Storm	DOIID	1115006	NAIC NPN	19747236

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	Personal Lines	12/29/2020	7/31/2023

*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
Residence	Not Public Information
Business / Home Office	1919 W 2nd St Joplin, MO 648013066

Phone Information

Type	Phone
Business / Home Office	(616) 752-0619