DEPARTMENT OF INSURANCE

Name	Forbis, Terrie Leann	DOIID	894713	NAIC NPN	17737233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	10/8/2015	12/11/2017
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/13/2021	7/31/2024

*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	1949 E Sunshine Springfield, MO 65899
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(417) 773-9164