DEPARTMENT OF INSURANCE

Name	Gholson, Conrad	DOIID	1113609	NAIC NPN	19738238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	1/12/2021		7/31/2026
Active	Resident	Agent	Casualty	1/19/2021		7/31/2026
Inactive	Resident	Surplus Lines Broker	Not Applicable	2/2/2021	7/31/2022

*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	05/15/2024	07/31/2024	07/02/2024	07/02/2024	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
Business / Home Office	2660 Olivet Church Road Suite 1 Paducah, KY 42001
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 554-5535