DEPARTMENT OF INSURANCE

Name	Dewitt, Ethan Scott	DOIID	1034708	NAIC NPN	19088391

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	10/24/2022	4/30/2027
Active	Resident	Agent	Casualty	10/24/2022	4/30/2027
Active	Resident	Agent	Life	10/24/2022	4/30/2027
Active	Resident	Agent	Property	10/24/2022	4/30/2027

*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	02/15/2025	04/30/2025	03/25/2025	03/25/2025	Yes

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	300 Middletown Park Pl Ste C Louisville, KY 40243

Internet Information

Type	Address
Business Email	edewitt12@gmail.com

Phone Information

Type	Phone
Business / Home Office	(502) 245-3636