DEPARTMENT OF INSURANCE

Name	Davis, James Edward	DOIID	634517	NAIC NPN	607677

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	Life	6/19/2006	10/31/2015
Inactive	Non Resident	Agent	Health	6/19/2006	10/31/2015

*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
Mailing	Employers Mutual Inc 700 Central PrkwyStuart, FL 34994
Business / Home Office	Employers Mutual Inc 700 Central PrkwyStuart, FL 34994
Residence	Not Public Information

Internet Information

Type	Address
Business Email	jdavis@ascensionins.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(772) 919-8575 Ext-8575