DEPARTMENT OF INSURANCE

Name	Wallace, Mildred Layman	DOIID	313645	NAIC NPN	548129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/14/2001	4/30/2016
Inactive	Resident	Agent	General Lines	10/7/1992	8/15/2000
Inactive	Non Resident	Agent	Casualty	12/14/2001	4/30/2016

*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	Bennett & Bennett Insurance, Inc. 3837 Charlestown RoadNew Albany, IN 47150
Residence	Not Public Information

Internet Information

Type	Address
Business Email	sissy_wallace@hotmail.com

Phone Information

Type	Phone
Business / Home Office	(812) 948-2233