DEPARTMENT OF INSURANCE

Name	Nommensen, Daniel Thomas	DOIID	1151473	NAIC NPN	20017616

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Personal Lines	8/15/2021	10/31/2022
Pending Replacement	Non Resident	Agent	Health	5/19/2023		10/31/2024

*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	08/15/2024	10/31/2024

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	2290 E Yeager Dr Ste 100Chandler, AZ 85286
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(877) 564-4772