DEPARTMENT OF INSURANCE

Name	Bradley, Kerry Martin	DOIID	580701	NAIC NPN	7929393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Administrator	Not Applicable	11/10/2003	12/31/2012

*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	First American Administrators Inc. 4000 Luxottica PlaceMason, OH 45040
Mailing	First American Administrators Inc. PO Box 8513Mason, OH 450405422
Residence	Not Public Information

Internet Information

Type	Address
Business Email	amiller@eyemedvisioncare.com

Phone Information

Type	Phone
Business / Home Office	(513) 765-3777