DEPARTMENT OF INSURANCE

Name	Cottongim, Beth Anne	DOIID	308097	NAIC NPN	3483685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Property	4/12/2001	1/31/2006
Inactive	Resident	Agent	Casualty	4/12/2001	1/31/2006
Inactive	Resident	Agent	General Lines	3/17/1997	8/15/2000

*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	320 Stilz Ave Louisville, KY 40206

Internet Information

Type	Address
Business Email	babrown44@hotmail.com

Phone Information

Type	Phone
Business / Home Office	(502) 259-9653
Fax	(502) 458-9812