DEPARTMENT OF INSURANCE

Name	Smith, Larry Wayne	DOIID	307507	NAIC NPN	7158994

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Life	6/8/1989	12/1/2013
Inactive	Resident	Agent	Health	6/8/1989	12/1/2013
Inactive	Resident	Agent	Property	11/26/2001	12/1/2013

*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	120 Stoncrest Drive Suite 2 Somerset, KY 42503
Mailing	P O Box 315 Pine Knot, KY 42635
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 561-0010