DEPARTMENT OF INSURANCE

Name	Gray, Dannielle	DOIID	885189	NAIC NPN	17672793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Health	8/6/2015	11/30/2020

*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
Residence	Not Public Information
Business / Home Office	4000 Fort Campbell Blvd Ste D3 Hopkinsville, KY 422404930

Phone Information

Type	Phone
Business / Home Office	(270) 881-8665