DEPARTMENT OF INSURANCE

Name	Eaton-Provident Group LLC	DOIID	903499	NAIC NPN	17750161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	1/8/2016	3/31/2024
Inactive	Non Resident	Agent	Casualty	1/8/2016	3/31/2024

*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.

Address Information

Type	Address
Business / Home Office	8777 N Gainey Center Dr Ste 100 Scottsdale, AZ 852582120

Phone Information

Type	Phone
Business / Home Office	(480) 941-4895