DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Norman, Kelly C	DOIID	633321	NAIC NPN	6908149

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/1/2006	6/25/2009
Inactive	Non Resident	Agent	Property	8/25/2007	6/25/2009
Inactive	Non Resident	Agent	Casualty	8/25/2007	6/25/2009
Inactive	Non Resident	Agent	Health	6/1/2006	6/25/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Premier Insurance Management Services, Inc.	540070	Agent - Life
Denied	Premier Insurance Management Services, Inc.	540070	Agent - Health