DEPARTMENT OF INSURANCE

Name	Crooks, Randy	DOIID	889193	NAIC NPN	17516160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/31/2015		10/31/2024
Active	Non Resident	Agent	Health	8/31/2015		10/31/2024
Inactive	Non Resident	Agent	Property	8/25/2016	7/21/2023
Inactive	Non Resident	Agent	Casualty	8/25/2016	7/21/2023

*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	08/15/2024	10/31/2024

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
Residence	Not Public Information
Business / Home Office	613 Polk St Lot 44 De Soto, IA 500691065

Phone Information

Type	Phone
Business / Home Office	(515) 365-3200