DEPARTMENT OF INSURANCE

Name	M J Kelly Co	DOIID	1023245	NAIC NPN	2109545

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	12/21/2018	8/15/2021
Inactive	Non Resident	Agent	Property	12/21/2018	8/15/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/21/2018	8/15/2021

*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.

Address Information

Type	Address
Business / Home Office	1343 E. Kingsley Street Suite A MissouriSpringfield, MO 65804

Phone Information

Type	Phone
Business / Home Office	(417) 883-2688