DEPARTMENT OF INSURANCE
Licensee Search Details
NameCarlson, Jerald DavidDOIID806273NAIC NPN621510
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentLife3/21/20139/30/2023  
InactiveNon ResidentAgentHealth3/21/20139/30/2023  
*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
TypeAddress
Business / Home OfficeWallace Welch Willingham Inc 300 First St So Fifth FloorSt Petersburg, FL 33701
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailjcarlson@w3ins.com
Phone Information
TypePhone
Business / Home Office(727) 522-7777

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