DEPARTMENT OF INSURANCE

Name	Banah, Susana	DOIID	1309589	NAIC NPN	20985317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	12/4/2023		5/31/2025
Denied	Resident	Agent	Health

*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	03/15/2025	05/31/2025

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	56 Cami Ct, Apt 811Walton, KY 41094
Residence	Not Public Information

Internet Information

Type	Address
Business Email	suzb406@gmail.com

Phone Information

Type	Phone
Business / Home Office	(402) 306-6087