DEPARTMENT OF INSURANCE

Name	Blalock, Monti J	DOIID	998328	NAIC NPN	17446892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/21/2018	7/31/2023
Inactive	Non Resident	Agent	Property	6/21/2018	7/31/2023
Inactive	Non Resident	Agent	Health	6/21/2018	7/31/2023
Inactive	Non Resident	Agent	Life	6/21/2018	7/31/2023

*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	341 Suttons Landing Rd Hertford, nc 27944
Residence	Not Public Information

Internet Information

Type	Address
Business Email	montiblalock@gmail.com