DEPARTMENT OF INSURANCE
Licensee Search Details
NameGreen, Blake MDOIID1072292NAIC NPN19405577
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentLife1/28/20202/28/2022  
*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
TypeAddress
Business / Home Office1850 General George Patton Dr Ste D Franklin, TN 370674600
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailblakegreensiu@gmail.com
Phone Information
TypePhone
Business / Home Office(859) 559-8598

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