DEPARTMENT OF INSURANCE

Name	Mitchum, Richard Allen	DOIID	328102	NAIC NPN	1467063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/20/2006	3/1/2023
Active	Non Resident	Agent	Life	6/12/2017		3/31/2025
Active	Non Resident	Agent	Health	6/12/2017		3/31/2025
Active	Non Resident	Agent	Casualty	6/5/2017		3/31/2025
Active	Non Resident	Agent	Property	6/5/2017		3/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	10/4/1989	3/1/2001
Inactive	Non Resident	Life & Health Consultant	Not Applicable	6/7/1995	2/22/2023
Inactive	Resident	Solicitor	General Lines	4/11/1995	7/14/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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
Business / Home Office	2093 Crystal Lake Drive Naples, FL 34120
Residence	Not Public Information

Internet Information

Type	Address
Internet	Mitchum.Rick@gmail.com

Phone Information

Type	Phone
Business / Home Office	(502) 645-8903