DEPARTMENT OF INSURANCE

Name	Booth, Phillip J	DOIID	356954	NAIC NPN	1008574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	7/10/1991	8/4/1997
Inactive	Non Resident	Agent	Life	3/29/1994	10/27/1998
Inactive	Non Resident	Agent	Health	3/29/1994	8/8/1997

*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
Business / Home Office	101 Bullit Ln Ste 309 Oxmoor PlaceLouisville, KY 40222
Residence	Not Public Information