DEPARTMENT OF INSURANCE

Name	Melton Funeral Home	DOIID	809356	NAIC NPN	16999945

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	5/3/2013	3/31/2021

*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.

Address Information

Type	Address
Mailing	P O Box 25 Providence, KY 42450
Business / Home Office	206 Cedar St Providence, KY 42450

Internet Information

Type	Address
Business Email	meltonfuneralhome@gmail.com

Phone Information

Type	Phone
Business / Home Office	(270) 667-2026