DEPARTMENT OF INSURANCE
Licensee Search Details
NameBrock, Susan EllenDOIID348103NAIC NPN7190597
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentHealth Maintenance Organization7/26/19953/31/1997  
InactiveResidentAgentNon-profit Health Service12/30/19983/1/2001  
InactiveResidentAgentHealth5/15/19953/1/2015  
*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
TypeAddress
Business / Home Office10100 Linn Station Rd Louisville, KY 40223
ResidenceNot Public Information

© Commonwealth of Kentucky. All rights reserved.