DEPARTMENT OF INSURANCE

Name	Lopez, Stacy	DOIID	1159859	NAIC NPN	20072233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Denied	Resident	Agent	Health
Pending Replacement	Resident	Agent	Life	11/9/2021		3/31/2025

*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	01/15/2025	03/31/2025

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	708 Arbor Drive Apt 510Henderson, KY 42420
Residence	Not Public Information

Internet Information

Type	Address
Business Email	sjcig@yahoo.com

Phone Information

Type	Phone
Business / Home Office	(931) 216-1234