DEPARTMENT OF INSURANCE

Name	Johnson, Daniel Fronman	DOIID	871401	NAIC NPN	17498836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	10/23/2015	8/31/2017
Inactive	Non Resident	Agent	Life	3/6/2015	8/31/2017
Inactive	Non Resident	Agent	Health	12/29/2015	8/31/2017

*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	3209 Erskine Dr Charlotte, NC 282052027
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(704) 372-8250