DEPARTMENT OF INSURANCE

Name	Davis Tubbs, Kim	DOIID	1001897	NAIC NPN	17478885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/14/2022		8/31/2025
Inactive	Non Resident	Agent	Property	7/23/2018	8/31/2021
Inactive	Non Resident	Agent	Casualty	7/23/2018	8/31/2021

*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
Residence	Not Public Information
Business / Home Office	2965 Purgatory Dr Colorado Springs, CO 809181618

Phone Information

Type	Phone
Business / Home Office	(312) 964-8563