DEPARTMENT OF INSURANCE

Name	Grissom, Phillip Howard	DOIID	303199	NAIC NPN	7157114

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	10/4/2001
Inactive	Resident	Agent	Property	8/15/2000	10/4/2001
Inactive	Resident	Agent	Health	8/13/1963	10/4/2001
Inactive	Resident	Agent	Life	8/13/1963	10/4/2001
Inactive	Resident	Agent	General Lines	4/14/1964	8/15/2000

*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. 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
Residence	Not Public Information
Business / Home Office	2310 7th Street Hickman, KY 42050