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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOY A. JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN287026
Status:
First Licensure:
05/17/2017
Cancel Date:
None

Mailing:
TEMPE, AZ 85283
Phone:
+1 (801) 559-9074
Fax:
+1 (877) 273-2984

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/17/2017

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
06/21/2020 PCF808
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
05/17/2018 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
05/22/2017 PCF116371

Authority

Description Issue Date Termination Date Status
CASUALTY 05/17/2017 Active
PROPERTY 05/17/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9480078

Other Addresses

Address Type
750 W BASELINE RD APT 1070
TEMPE, AZ 85283-5914
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/15/2025 04:14:46 AM