DEPARTMENT OF INSURANCE

Name	Johnson, Justin	DOIID	894325	NAIC NPN	17730535

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	10/5/2017		2/28/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/8/2015	2/28/2017

*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
Residence	Not Public Information
Business / Home Office	Dms San Antonio 1100 Employers BlvdGreen Bay, WI 543440001

Phone Information

Type	Phone
Business / Home Office	(866) 836-6162