DEPARTMENT OF INSURANCE
Licensee Search Details
NameChalker, Lisa DOIID1261491NAIC NPN19250314
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife3/11/2023 4/30/2026 
ActiveNon ResidentAgentHealth3/11/2023 4/30/2026 
*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 Office200 Wilson St Ofc 2 Port Jefferson Station, NY 117761100
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailchalker.lisarfm@gmail.com
Phone Information
TypePhone
Business / Home Office(631) 761-1778

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