DEPARTMENT OF INSURANCE
Licensee Search Details
NameKetchum Iii, David JonDOIID960857NAIC NPN18472976
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentTravel 7/19/20171/31/2020  
*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
TypeAddress
ResidenceNot Public Information
Business / Home Office261 Kahoun Rd Wisconsin Rapids, WI 544941838
Phone Information
TypePhone
Business / Home Office(715) 323-6681

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