DEPARTMENT OF INSURANCE

Name	Daugherty, Jack W	DOIID	316275	NAIC NPN	547811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	8/28/2014	3/31/2016
Inactive	Resident	Agent	Health	9/14/1994	12/1/2000

*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

Type	Address
Residence	Not Public Information
Business / Home Office	Jack W. Daugherty Ins. & Fin. Svcs, Llc 201 E Main StEnnis, MT 597299051

Phone Information

Type	Phone
Business / Home Office	(406) 682-4002