DEPARTMENT OF INSURANCE

Name	Keiffer, Branden Michael	DOIID	1010822	NAIC NPN	18901908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Personal Lines	1/29/2019		12/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	9/20/2018	12/31/2022

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

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	17419 N 16th Dr Phoenix, AZ 850232564
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(602) 920-7742