DEPARTMENT OF INSURANCE

Name	Botner Insurance	DOIID	748648	NAIC NPN	16159164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Property	2/23/2011	3/31/2015
Inactive	Resident	Agent	Casualty	2/23/2011	3/31/2015

*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.

Address Information

Type	Address
Business / Home Office	10122 Taylorsville Road Louisville, KY 40299

Phone Information

Type	Phone
Business / Home Office	(502) 794-5715