Individual Information

JONATHAN C PICKETT

Address:

LAS VEGAS, NV 89166-3764

Status:

Active

Email:

jpickett@lightwell.com

Date:

06/15/2009

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	654286	06/15/2009	Active	06/15/2009	06/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/15/2009	Active	06/15/2009
Health	06/15/2009	Active	06/15/2009
Life	06/15/2009	Active	06/15/2009
Property	06/15/2009	Active	06/15/2009
Casualty	08/12/2004	Inactive	06/15/2009
Health	08/12/2004	Inactive	06/15/2009
Life	08/12/2004	Inactive	06/15/2009
Property	08/12/2004	Inactive	06/15/2009
Surety	06/15/2009	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
1768
BROTHERHOOD MUTUAL INSURANCE COMPANY	Casualty	Active	06/23/2009
	Health	Active	06/23/2009
	Property	Active	06/23/2009
431
Company Name	Appointment Type	Status	Active Date
MUTUAL OF OMAHA INSURANCE COMPANY	Health	Active	09/03/2009

row(s) 1 - 4 of 4

Organization	Association Type	Type	Beg dte	End dte
Lightwell Insurance Advisors of Washington, LLC	Designated Resp Lic Prdcr	Agency	09/21/2020	-
PICKETT INS AGENCY INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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