DEPARTMENT OF INSURANCE
Licensee Search Details
NameWilloughby, Jackson GlennDOIID1207824NAIC NPN20348147
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentHealth2/7/2024 1/31/2026 
ActiveResidentAgentLife2/7/2024 1/31/2026 
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
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 Office1650 Lyndon Farm Ct Ste 102 Louisville, KY 40223
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailjacksonw173@gmail.com
Phone Information
TypePhone
Business / Home Office(502) 436-5115

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