DEPARTMENT OF INSURANCE

Name	Johnson, Fon Michael	DOIID	353867	NAIC NPN	7193171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		1/31/2025
Active	Resident	Agent	Casualty	8/15/2000		1/31/2025
Inactive	Resident	Agent	General Lines	1/25/1974	8/15/2000

*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
Business / Home Office	Maverick Insurance Group Llc 1214 North Mayo Trail Suite 100Pikeville, KY 41501
Mailing	1214 North Mayo Trail Suite 100Pikeville, KY 41501
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 605-0002