DEPARTMENT OF INSURANCE
Licensee Search Details
NamePruitt, Otis RayDOIID385047NAIC NPN7206790
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentLife8/19/2002 5/31/2025 
ActiveResidentAgentHealth8/19/2002 5/31/2025 
InactiveResidentAgentHealth Maintenance Organization7/24/19957/14/1997  
*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
TypeAddress
Business / Home Office109 Three Wood Lane Campbellsville, KY 42718
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailotisprui@aol.com
Phone Information
TypePhone
Business / Home Office(270) 769-8289

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