DEPARTMENT OF INSURANCE

Name	Walters, Andy Michael	DOIID	383304	NAIC NPN	7206007

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	5/31/2001	2/28/2007
Inactive	Resident	Agent	Credit Life & Health	6/26/1996	8/7/2000
Inactive	Resident	Agent	Debtors Life	9/10/1999	8/7/2000

*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
Mailing	Commonwealth Bank, FSB 35 South Bank StreetMount Sterling, KY 40353
Business / Home Office	Commonwealth Bank, FSB 35 South Bank StreetMount Sterling, KY 40353
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 498-5728