DEPARTMENT OF INSURANCE

Name	Moultrie, Wayne C	DOIID	362416	NAIC NPN	253838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2006
Inactive	Non Resident	Agent	General Lines	5/31/1996	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2006

*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
Business / Home Office	27 Forest View Drive Wernersville, PA 19565
Residence	Not Public Information

Internet Information

Type	Address
Business Email	moultrie@ptd.net - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(610) 670-5879