DEPARTMENT OF INSURANCE

Name	Vazquez, Jose Manuel	DOIID	689016	NAIC NPN	11588658

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	4/27/2009	8/31/2021
Inactive	Resident	Agent	Health	9/30/2008	8/31/2021

*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	276 Olive Springs Rd Bowling Green, KY 42101
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 842-8084