DEPARTMENT OF INSURANCE
Licensee Search Details
NameGray, Samuel JohnDOIID1195894NAIC NPN20256510
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth3/28/202211/30/2023  
InactiveNon ResidentAgentLife3/28/202211/30/2023  
*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
TypeAddress
Business / Home Office1435 Merion Drive Mount Dora, FL 32757
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailSAMJGRAY345@GMAIL.COM
Phone Information
TypePhone
Business / Home Office(607) 333-6318

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