DEPARTMENT OF INSURANCE

Name	Henriott, Gary Daniel	DOIID	374656	NAIC NPN	523927

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/19/2010	10/31/2020
Inactive	Non Resident	Agent	Property	8/15/2000	10/31/2020
Inactive	Non Resident	Agent	Life	4/19/2010	10/31/2020
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/31/2020
Inactive	Non Resident	Agent	General Lines	11/1/1998	8/15/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

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

Type	Address
Business / Home Office	250 Main St Ste 650 Lafayette, IN 479011285
Residence	Not Public Information

Internet Information

Type	Address
Business Email	GHENRIOTT@HENRIOTT.COM

Phone Information

Type	Phone
Business / Home Office	(765) 429-5000