DEPARTMENT OF INSURANCE

Name	Grimes, Brandon Le Roi	DOIID	992699	NAIC NPN	18771201

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	4/30/2018	11/30/2021
Inactive	Non Resident	Agent	Casualty	4/30/2018	11/30/2021

*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	Amica Mutual Insurance 2475 Village View Dr Ste 200Henderson, NV 890747174

Phone Information

Type	Phone
Business / Home Office	(888) 342-6422 Ext-84537