DEPARTMENT OF INSURANCE

Name	Ambrose, Jacqueline Leigh	DOIID	679737	NAIC NPN	10727082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/30/2009	9/30/2013
Inactive	Resident	Agent	Casualty	5/13/2008	9/30/2013
Inactive	Resident	Agent	Property	5/16/2008	9/30/2013
Inactive	Resident	Agent	Life	6/18/2010	9/30/2013

*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	Peggy L Druin Ins Agency Inc 1547 B Old Preston Hwy NLouisville, KY 40229
Residence	Not Public Information