JAKE LEROY ALLEN JR

Agent ID:	4606
National Producer ID:	5948241
Mailing Address:	1150 CRIPPLE CREEK DR
	LAWRENCEVILLE, GA 30043-4414
Resident State:	GA
Phone:	404-964-0038

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	11/13/2015	2/28/2025

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	11/13/2015
Casualty	11/13/2015
Life	11/13/2015
Property	11/13/2015

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
8600066	American-Amicable Life Insurance Company of Texas	12/29/2015
8100177	Progressive Gulf Insurance Company	12/15/2015