DEPARTMENT OF INSURANCE

Name	Campbell, Marty	DOIID	1138589	NAIC NPN	11479189

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/7/2022	9/30/2024
Active	Non Resident	Agent	Property	12/7/2022	9/30/2024
Active	Non Resident	Agent	Health	6/9/2021	9/30/2024

*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	07/15/2024	09/30/2024

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	4221 Yanceyville Rd Apt V Browns Summit, NC 272148906
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(312) 465-6386