DEPARTMENT OF INSURANCE
Licensee Search Details
NameFowler-Charlton, Dallas MichelleDOIID1064517NAIC NPN19341186
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentLife10/11/2024 5/31/2026 
ActiveResidentAgentHealth10/11/2024 5/31/2026 
*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 Office53 Matlock Road Auburn, KY 42206
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaildallas@sigcoverage.com
Phone Information
TypePhone
Business / Home Office(270) 904-7979

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