DEPARTMENT OF INSURANCE

Name	Gilliom, Richard Bradley	DOIID	1184635	NAIC NPN	20124909

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	1/25/2022		7/31/2024
Active	Non Resident	Agent	Life	1/25/2022		7/31/2024

*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

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	2400 W White River Blvd Apt E5 Muncie, IN 473035247
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(866) 774-8570 Ext-78812