DEPARTMENT OF INSURANCE

Name	Lewis, Jack D	DOIID	771559	NAIC NPN	2772499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/29/2011	11/30/2022
Inactive	Non Resident	Agent	Health	12/29/2011	11/30/2022
Inactive	Non Resident	Agent	Life	12/29/2011	11/30/2022
Inactive	Non Resident	Agent	Casualty	12/29/2011	11/30/2022

*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	1505 Main St Hamilton, OH 450131079
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(513) 505-7654