DEPARTMENT OF INSURANCE

Name	Sherrod Jr, Gordon Wallace	DOIID	393418	NAIC NPN	830702

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Health	9/15/1999	3/1/2010
Inactive	Resident	Agent	Life	5/31/2001	3/1/2010

*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	Ultra Incorpoated 6813 West Hwy 22Crestwood, KY 40014
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 241-2530