Individual Information

PHILIP BLAKE JOHNSON

Address:

PHOENIX, AZ 85028-1206

Status:

Active

Email:

blake.johnson@drivetime.com

Date:

02/15/2013

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	200239	02/25/2005	Active	02/15/2013	02/29/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/25/2005	Active	02/15/2013
Personal Property Storage	10/14/2020	Active	10/14/2020
Property	02/25/2005	Active	02/15/2013
Surplus Lines	11/01/2013	Inactive	12/14/2021

Organization	Association Type	Type	Beg dte	End dte
PONDEROSA INSURANCE AGENCY LLC	Designated Resp Lic Prdcr	Agency	07/28/2020	-
VKDG DEVELOPMENT LLC	Designated Resp Lic Prdcr	Agency	12/05/2022	-

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