DEPARTMENT OF INSURANCE

Name	Crump, Nicole Rene	DOIID	587025	NAIC NPN	8033326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Property	4/13/2004		8/31/2025
Active	Resident	Agent	Casualty	4/13/2004		8/31/2025

*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	10501 Shadow Ridge Ln Apt 102 Louisville, KY 402415411

Phone Information

Type	Phone
Business / Home Office	(502) 815-5138