DEPARTMENT OF INSURANCE
Licensee Search Details
NameCrutchfield, Jacob DOIID1215406NAIC NPN19378085
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentLife7/8/20225/31/2024  
InactiveNon ResidentAgentHealth7/8/20225/31/2024  
*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 Office1259 E Bruce Ave Gilbert, AZ 852341053
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(480) 540-2538

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