DEPARTMENT OF INSURANCE

Name	Johnson Jr, E Dale	DOIID	390815	NAIC NPN	636630

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	3/31/2022
Inactive	Non Resident	Agent	Casualty	8/15/2000	3/31/2022
Inactive	Non Resident	Agent	General Lines	12/9/1996	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	8716 Kilikenny Cv Fort Wayne, IN 468359126
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(260) 385-9767