DEPARTMENT OF INSURANCE

Name	Smith, Donna Sue	DOIID	553921	NAIC NPN	7325258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	12/23/2002	4/30/2007
Inactive	Non Resident	Agent	Health	12/23/2002	4/30/2007

*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	CI Direct Attn: Licensing 2513 Southwest AvenueHarlan, IA 51537
Mailing	CI Direct Attn: Licensing 2513 Southwest AvenueHarlan, IA 51537
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(712) 755-9500