DEPARTMENT OF INSURANCE

Name	Ambersley, Krystal Denell	DOIID	1117628	NAIC NPN	18141475

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	5/21/2021		2/28/2027
Active	Non Resident	Agent	Personal Lines	1/21/2021		2/28/2027

*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	12/15/2024	02/28/2025	12/09/2024	12/09/2024	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	516 N Shore Rd Lithonia, GA 300585952
Residence	Not Public Information

Internet Information

Type	Address
Business Email	krystal_ambersley@yahoo.com

Phone Information

Type	Phone
Business / Home Office	(678) 777-4653