DEPARTMENT OF INSURANCE

Name	Bellamy, Roger Dale	DOIID	330329	NAIC NPN	7176842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Personal Lines	4/7/2010		10/31/2025
Active	Resident	Agent	Life	4/7/2010		10/31/2025
Active	Resident	Agent	Casualty	4/7/2010		10/31/2025
Active	Resident	Agent	Health	4/7/2010		10/31/2025
Active	Resident	Agent	Property	4/7/2010		10/31/2025
Inactive	Resident	Agent	General Lines	4/30/1979	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
Business / Home Office	10592 Durinda Street Whitesville, KY 42378
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 233-4824