DEPARTMENT OF INSURANCE

Name	Witecha, Brad Anthony	DOIID	745503	NAIC NPN	9754259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/15/2021		3/31/2027
Active	Non Resident	Agent	Property	10/15/2021		3/31/2027
Inactive	Non Resident	Agent	Life	9/11/2012	3/31/2019
Inactive	Non Resident	Agent	Health	9/11/2012	3/31/2019

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/04/2025	01/04/2025	Yes

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	2659 Waterdance Dr Little Elm, TX 750682797
Residence	Not Public Information

Internet Information

Type	Address
Business Email	baw8005@sbcglobal.net

Phone Information

Type	Phone
Business / Home Office	(949) 281-9557