DEPARTMENT OF INSURANCE

Name	Collins Senior Insurance LLC	DOIID	1117634	NAIC NPN	19539036

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	Life	7/7/2023		3/31/2027
Active	Non Resident	Agent	Health	7/7/2023		3/31/2027

*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.

Address Information

Type	Address
Business / Home Office	3108 Jackson Ct Evansville, IN 47714

Internet Information

Type	Address
Business Email	DECOLLINS1@YMAIL.COM

Phone Information

Type	Phone
Business / Home Office	(812) 459-6242