DEPARTMENT OF INSURANCE

Name	Henderson, Evette Rene	DOIID	764342	NAIC NPN	15883754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/15/2023		12/31/2024
Active	Non Resident	Agent	Property	11/15/2023		12/31/2024
Inactive	Non Resident	Agent	Life	6/28/2022	8/24/2022
Inactive	Non Resident	Agent	Health	8/19/2020	8/24/2022

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

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	1275 Elm Rd Ne Warren, OH 444834023

Phone Information

Type	Phone
Business / Home Office	(704) 890-2124