DEPARTMENT OF INSURANCE
Licensee Search Details
NameTysdal, Justin JayDOIID596765NAIC NPN1477295
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAdministratorNot Applicable5/4/2005 10/31/2025 
*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
Administrator08/15/202510/31/2025   
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 OfficeSeven Corners, Inc. 303 Congressional BlvdCarmel, IN 460325631
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(800) 335-0611

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