DEPARTMENT OF INSURANCE

Name	PBPH LLC	DOIID	400798	NAIC NPN	7222692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	11/6/1999	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2003
Inactive	Resident	Agent	Life	10/27/1999	3/8/2001
Inactive	Resident	Agent	Health	10/27/1999	3/8/2001
Inactive	Resident	Agent	Property	8/15/2000	5/31/2003

*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.

Address Information

Type	Address
Business / Home Office	601a Carlton Dr P.O. Box 1539Owensboro, KY 423021539