DEPARTMENT OF INSURANCE

Name	Prudential Insurance Brokerage, Inc.	DOIID	559506	NAIC NPN	662966

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	Casualty	11/19/2002	8/14/2006
Inactive	Non Resident	Agent	Property	11/19/2002	8/14/2006

*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.

Address Information

Type	Address
Business / Home Office	2910 E Camelback Rd Ste 200 Phoenix, AZ 85016

Phone Information

Type	Phone
Business / Home Office	(480) 778-5522