DEPARTMENT OF INSURANCE
Licensee Search Details
NameMontgomery, Jerry WayneDOIID370783NAIC NPN7200513
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAdjusterIndependent2/3/20033/31/2010  
InactiveNon ResidentAdjusterPublic11/24/19973/31/2002  
InactiveNon ResidentApprentice AdjusterNot Applicable9/17/19969/17/1997  
*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 OfficeBrentwood Services Administrators Inc P.O. Box 242850 9400 Bunsen Pkwy Ste 225Louisville, KY 40224
Mailing1414 Old State Road Henryville, IN 47126
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailjwaynemontgomery@earthlink.com - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(502) 671-1401

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