DEPARTMENT OF INSURANCE
Licensee Search Details
NameForman, Malinda TheresaDOIID1025519NAIC NPN19019071
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentHealth2/8/201912/31/2021  
InactiveResidentAgentLife2/1/201912/31/2021  
*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.
Address Information
TypeAddress
Business / Home Office304 Cherokee Circle Mount Washington, KY 40047
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaillindyforman@gmail.com
Phone Information
TypePhone
Business / Home Office(502) 345-6289

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