DEPARTMENT OF INSURANCE

Name	Keiper, Bradley David	DOIID	741280	NAIC NPN	2077759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/1/2023		12/31/2025
Active	Non Resident	Agent	Casualty	6/1/2023		12/31/2025
Inactive	Non Resident	Agent	Life	10/28/2010	12/31/2011
Inactive	Non Resident	Agent	Health	10/28/2010	12/31/2011

*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	4651 Salisbury Rd Ste 210 Jacksonville, FL 322566107

Phone Information

Type	Phone
Business / Home Office	(847) 565-1317