DEPARTMENT OF INSURANCE

Name	Ambrose, Michael J	DOIID	569058	NAIC NPN	575039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/27/2003	9/30/2021
Inactive	Non Resident	Agent	Travel	3/10/2017	9/30/2021
Inactive	Non Resident	Agent	Property	10/7/2009	9/30/2021
Inactive	Non Resident	Agent	Casualty	10/7/2009	9/30/2021
Inactive	Non Resident	Agent	Health	5/27/2003	9/30/2021

*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	1203 N 97th Plz Omaha, NE 681142162
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(402) 397-5309