DEPARTMENT OF INSURANCE

Name	Kuussalo, Shelley Bernard	DOIID	581721	NAIC NPN	7951078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Life	4/13/2004	11/1/2017
Inactive	Resident	Agent	Health	3/23/2004	11/1/2017

*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
Mailing	Schwartz Insurance Group 2950 Breckenridge LaneLouisville, KY 40220
Business / Home Office	Schwartz Insurance Group 2950 Breckenridge LaneLouisville, KY 40220

Internet Information

Type	Address
Business Email	shelley@schwartzinsgrp.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(502) 451-1121 Ext-145