DEPARTMENT OF INSURANCE

Name	Lewis, Jeffrey	DOIID	932729	NAIC NPN	16115936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/17/2018		7/31/2026
Inactive	Non Resident	Agent	Casualty	10/11/2016	7/31/2018
Inactive	Non Resident	Agent	Property	10/11/2016	7/31/2018

*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	2020 Innovation Ct De Pere, WI 541156009
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(913) 393-5192