DEPARTMENT OF INSURANCE

Name	Coultas, Markita Jean	DOIID	694366	NAIC NPN	9681686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	4/15/2009	6/4/2010
Inactive	Resident	Agent	Casualty	4/15/2009	6/4/2010
Inactive	Resident	Agent	Personal Lines	4/15/2009	6/4/2010

*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	300 Main St. Po Box 7Troy, IN 47588
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(812) 547-7901