DEPARTMENT OF INSURANCE

Name	Michaels, Chrystasya Crouse	DOIID	525481	NAIC NPN	2514759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/16/2011	3/1/2013
Inactive	Non Resident	Agent	Casualty	5/29/2001	4/30/2003
Inactive	Non Resident	Agent	Property	5/29/2001	4/30/2003

*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. 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	6047 Slate Lick Rd London, KY 40741

Phone Information

Type	Phone
Business / Home Office	(606) 877-6670
Fax	(888) 316-0107