DEPARTMENT OF INSURANCE

Name	Spisak, Jacob	DOIID	975525	NAIC NPN	17112536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/6/2023		6/30/2028
Active	Non Resident	Agent	Property	1/6/2023		6/30/2028
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/3/2017	6/30/2022

*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	4250 Congress St Ste 200 Charlotte, NC 282090038
Residence	Not Public Information

Internet Information

Type	Address
Business Email	jake_spisak@ajg.com

Phone Information

Type	Phone
Business / Home Office	(704) 602-3803