DEPARTMENT OF INSURANCE

Name	Mauck, Kathy L	DOIID	1099965	NAIC NPN	1023564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	9/23/2020		4/30/2027
Active	Non Resident	Agent	Life	9/23/2020		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	02/03/2025	02/03/2025	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	1905 Redwood Ave Niceville, FL 325789510

Internet Information

Type	Address
Business Email	klynnsbeach@cox.net - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(850) 259-0664