DEPARTMENT OF INSURANCE

Name	Johnson, Susan C	DOIID	322078	NAIC NPN	7168740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/13/1994	4/1/2015
Inactive	Resident	Agent	Health Maintenance Organization	12/8/1994	3/1/2001
Inactive	Resident	Agent	Health	10/13/1994	4/1/2015

*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	1038 Harry Wise Rd Lawrenceburg, KY 40342