DEPARTMENT OF INSURANCE

Name	Professional Brokerage Inc	DOIID	644315	NAIC NPN	2109244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	8/19/2008	3/31/2012
Inactive	Non Resident	Agent	Health	5/5/2022	3/31/2024
Inactive	Non Resident	Agent	Life	5/5/2022	3/31/2024
Inactive	Non Resident	Life & Health Consultant	Not Applicable	8/19/2008	8/6/2009

*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	14107 S. Shore Dr. Clive, IA 50325

Phone Information

Type	Phone
Business / Home Office	(515) 865-6565