DEPARTMENT OF INSURANCE

Name	Branham, Jason M	DOIID	609813	NAIC NPN	8450393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/7/2005	11/30/2009
Inactive	Non Resident	Agent	Casualty	6/7/2005	11/30/2009
Inactive	Non Resident	Agent	Personal Lines	6/12/2017	11/30/2023

*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	2609 Parkwest Dr Albemarle, NC 280018251

Phone Information

Type	Phone
Business / Home Office	(800) 438-6387 Ext-9245