DEPARTMENT OF INSURANCE

Name	Johnson, Derrell Darnell	DOIID	947632	NAIC NPN	646693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/19/2023	12/31/2025
Active	Non Resident	Agent	Health	5/18/2023	12/31/2025
Active	Non Resident	Agent	Casualty	5/19/2023	12/31/2025
Active	Non Resident	Agent	Life	5/18/2023	12/31/2025

*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	10/15/2025	12/31/2025

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	3974 Belmont Ridge Dr Lithonia, GA 300384070
Residence	Not Public Information

Internet Information

Type	Address
Business Email	johnsonfg@gmail.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(470) 298-5015