DEPARTMENT OF INSURANCE

Name	Tabb, Andrew	DOIID	1156757	NAIC NPN	20056056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Pending Replacement	Resident	Agent	Life	9/16/2021		4/30/2024

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2024	04/30/2024

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	1060 Shive Ln Apt A-3Bowling Green, KY 42103
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 748-9981