DEPARTMENT OF INSURANCE

Name	Mitchell, Angela Deneen	DOIID	342123	NAIC NPN	7187974

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	3/31/1999	9/30/2006
Inactive	Resident	Agent	General Lines	4/20/1993	8/12/1996
Inactive	Resident	Agent	Life	5/18/1998	7/1/2006
Inactive	Resident	Agent	Prepaid Dental Plan	9/29/1998	4/2/2001
Inactive	Resident	Agent	Health Maintenance Organization	11/26/1997	3/1/2001
Inactive	Resident	Agent	Health	5/18/1998	7/1/2006

*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	410 W Lake Street Madisonville, KY 42431
Mailing	410 W Lake Street Madisonville, KY 42431

Internet Information

Type	Address
Business Email	amitchel@trover.org

Phone Information

Type	Phone
Business / Home Office	(270) 825-3302