DEPARTMENT OF INSURANCE

Name	Crum, Phucesia Jacquelyn	DOIID	785081	NAIC NPN	16685236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/28/2012	11/5/2014
Inactive	Non Resident	Agent	Personal Lines	10/28/2018	9/30/2021
Inactive	Non Resident	Agent	Property	6/28/2012	11/5/2014
Inactive	Non Resident	Independent Adjuster	Property & Casualty	4/12/2013	9/30/2015

*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	489 Waterside View Dr Blacklick, OH 430048580
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(877) 776-2436