DEPARTMENT OF INSURANCE

Name	Hisle, Michael Brad	DOIID	958703	NAIC NPN	17866780

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/19/2021	12/31/2022
Inactive	Non Resident	Agent	Casualty	2/19/2021	12/31/2022
Inactive	Non Resident	Agent	Health	6/27/2017	12/31/2018
Inactive	Non Resident	Agent	Life	6/27/2017	12/31/2018

*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	3467 Se Gladstone St Portland, OR 972023334
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(877) 434-1904 Ext-x9158