DEPARTMENT OF INSURANCE
Licensee Search Details
NameDerickson, Brian KeithDOIID544345NAIC NPN7224073
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentLife2/11/20027/1/2004  
InactiveResidentAgentCasualty7/25/20182/28/2021  
InactiveResidentAgentHealth2/11/20027/1/2004  
InactiveResidentAgentProperty7/25/20182/28/2021  
*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
ResidenceNot Public Information
Business / Home Office112 Meadow Dr. Stanton, KY 40380
Phone Information
TypePhone
Business / Home Office(606) 663-1004

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