DEPARTMENT OF INSURANCE
Licensee Search Details
NameWaters, Brandon DaleDOIID647310NAIC NPN9032924
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentLife1/18/2007 10/31/2024 
ActiveResidentAgentHealth1/18/2007 10/31/2024 
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
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 Office701 Henson Rd. Smithland, KY 42081
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailjackinlg@gmail.com - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(270) 575-1080

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