DEPARTMENT OF INSURANCE

Name	Johnson, Chad William	DOIID	567015	NAIC NPN	3344493

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	3/4/2013	8/31/2015
Inactive	Non Resident	Agent	Property	4/23/2003	8/31/2015
Inactive	Non Resident	Agent	Casualty	4/23/2003	8/31/2015

*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	5757 Phantom Dr Ste 200 Hazelwood, MO 630422406
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(216) 592-7124