DEPARTMENT OF INSURANCE

Name	Drake, Micah David	DOIID	719681	NAIC NPN	10182640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/13/2020	9/30/2023
Inactive	Non Resident	Agent	Casualty	6/4/2012	9/30/2013
Inactive	Non Resident	Agent	Life	2/13/2020	9/30/2023
Inactive	Non Resident	Agent	Property	6/4/2012	9/30/2013

*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	4664 N Ash White Ter Crystal River, FL 344285953
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(813) 452-8049