DEPARTMENT OF INSURANCE

Name	Keown, Mark Stephen	DOIID	326887	NAIC NPN	5945794

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/30/1991		7/31/2024
Active	Non Resident	Agent	Health	10/30/1991		7/31/2024
Active	Non Resident	Agent	Property	8/15/2000		7/31/2024
Active	Non Resident	Agent	Casualty	8/15/2000		7/31/2024
Inactive	Resident	Agent	General Lines	8/7/1990	8/15/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024

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	J.G. Keown Insurance Agency Inc P.O. Box 1030 3205 Lafayette RoadHopkinsville, KY 42241

Internet Information

Type	Address
Business Email	mark@jgkeowninsurance.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(270) 885-9145