DEPARTMENT OF INSURANCE

Name	Ford, Lee Andrew	DOIID	1040620	NAIC NPN	3418704

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	Health	3/8/2022		10/31/2025
Inactive	Non Resident	Agent	Life	5/16/2019	10/31/2021

*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	15511 Tuckerton Rd Apt 803 Houston, TX 770955317
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(281) 363-0456