DEPARTMENT OF INSURANCE
Affiliations
NameJohnson, Kyle DeanDOIID946025NAIC NPN7659432
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAdministratorNot Applicable2/27/2017 12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFairview Pharmacy Services LLC931171Administrator - Not Applicable3/7/2017 

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