DEPARTMENT OF INSURANCE

Name	Johnson, Michael	DOIID	645105	NAIC NPN	3293731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/28/2006	4/7/2017
Inactive	Non Resident	Agent	Health	12/28/2006	4/7/2017
Denied	Non Resident	Life & Health Consultant	Not Applicable

*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
Residence	Not Public Information
Business / Home Office	Gallagher Benefit Services, Inc. 250 Park AveNew York, NY 101770001

Phone Information

Type	Phone
Business / Home Office	(914) 672-3022