DEPARTMENT OF INSURANCE

Name	Embry, Mark Allen	DOIID	349890	NAIC NPN	7191398

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	4/19/2021		1/31/2025
Inactive	Resident	Agent	Life	8/18/1999	12/1/2000
Inactive	Resident	Agent	Debtors Life	8/18/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	6/17/1994	4/10/2000
Inactive	Resident	Agent	Mortgage Redemption	3/20/2000	8/7/2000

*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	11/15/2024	01/31/2025

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
Business / Home Office	201 North Main Street Morgantown, KY 42261
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 526-3881 Ext-113