DEPARTMENT OF INSURANCE
Licensee Search Details
NameRoman, Jacqueline ReneeDOIID1410752NAIC NPN8686669
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife7/15/2025 5/31/2028 
ActiveNon ResidentAgentHealth7/15/2025 5/31/2028 
*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 Office515 Marin St Ste 408 Thousand Oaks, CA 913604117
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailjacqueline.roman.wfg@gmail.com
Phone Information
TypePhone
Business / Home Office(818) 266-7960

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