DEPARTMENT OF INSURANCE

Name	Collins, Carly	DOIID	1052686	NAIC NPN	19260657

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/1/2021	7/31/2025
Active	Non Resident	Agent	Personal Lines	8/21/2019	7/31/2025
Active	Non Resident	Agent	Property	10/1/2021	7/31/2025

*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	1876 Waycross Rd Cincinnati, OH 452402825

Phone Information

Type	Phone
Business / Home Office	(888) 840-7192