DEPARTMENT OF INSURANCE
Licensee Search Details
NameMedina, Jacqlyn DOIID1201048NAIC NPN20282115
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth4/24/2022 2/28/2026 
*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 Office2200 Fletcher Ave Fl 4 Fort Lee, NJ 070245005
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(201) 242-3417

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