DEPARTMENT OF INSURANCE

Name	Davis, Roger Dale	DOIID	357361	NAIC NPN	663017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2008
Inactive	Resident	Agent	General Lines	8/1/1980	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	7/1/2008
Inactive	Resident	Agent	Health	4/12/1976	7/1/2008
Inactive	Resident	Agent	Health Maintenance Organization	7/28/2000	3/1/2001
Inactive	Resident	Agent	Life	4/12/1976	7/1/2008

*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	745 Old Green Hill Road Alvaton, KY 42122

Phone Information

Type	Phone
Business / Home Office	(270) 781-2147