DEPARTMENT OF INSURANCE

Name	Lanier, Jake Robert	DOIID	1170966	NAIC NPN	19684529

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	Life	11/5/2021		7/31/2024
Active	Non Resident	Agent	Health	11/5/2021		7/31/2024

*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	05/15/2024	07/31/2024

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
Residence	Not Public Information
Business / Home Office	22 Young Way WaynesvilleWaynesville, NC 28786

Phone Information

Type	Phone
Business / Home Office	(866) 774-8570 Ext-78812