DEPARTMENT OF INSURANCE

Name	Walls, Jason Richard	DOIID	646888	NAIC NPN	1829630

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/27/2006	1/31/2010
Inactive	Non Resident	Agent	Health	12/27/2006	1/31/2010
Inactive	Non Resident	Agent	Property	12/27/2006	1/31/2010
Inactive	Non Resident	Agent	Casualty	12/27/2006	1/31/2010

*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	Walls Family Insurance 126 S Washington StGreenfield, OH 451231469
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.brookeagency.com/961

Phone Information

Type	Phone
Business / Home Office	(937) 981-3853