DEPARTMENT OF INSURANCE

Name	Roland, Mary C	DOIID	304946	NAIC NPN	7157846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	12/1/2023
Inactive	Resident	Agent	General Lines	7/14/1998	8/15/2000
Inactive	Resident	Agent	Health	4/14/1998	12/1/2023
Inactive	Resident	Agent	Assessment Chapter 299	9/29/1998	12/1/2000
Inactive	Resident	Agent	Life	4/14/1998	12/1/2023
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2023

*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
Business / Home Office	Forcht Insurance Agency 213 N Main StCorbin, KY 40701
Residence	Not Public Information

Internet Information

Type	Address
Business Email	caroland@1stcorbin.com - Bad Email-Correction requested