DEPARTMENT OF INSURANCE

Name	Wiseman Jr, Philip B	DOIID	391148	NAIC NPN	1475641

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/6/1992		7/31/2026
Active	Resident	Agent	Life	4/6/1992		7/31/2026
Inactive	Resident	Agent	Prepaid Dental Plan	4/25/1995	3/1/2001
Inactive	Resident	Agent	Health Maintenance Organization	11/21/1997	3/1/2001
Denied	Resident	Life & Health Consultant	Not Applicable

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/07/2024	06/07/2024	Yes

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	1750 Scottsville Rd Ste 4 Bowling Green, KY 421043375

Phone Information

Type	Phone
Business / Home Office	(270) 793-0367