DEPARTMENT OF INSURANCE

Name	Stacy, Daniel Lee	DOIID	332537	NAIC NPN	7180404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/26/2008		12/31/2024
Active	Resident	Agent	Property	10/14/2008		12/31/2024
Active	Resident	Agent	Life	3/4/2008		12/31/2024
Denied	Resident	Agent	Casualty
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	10/11/1999	12/9/1999

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

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
Mailing	275 Spence Branch Tomahawk, KY 41262
Residence	Not Public Information
Business / Home Office	Independent Mutual Fire 5311 KY Route 321 P O Box 669Prestonsburg, KY 41653

Internet Information

Type	Address
Business Email	dannystacy62@yahoo.com

Phone Information

Type	Phone
Business / Home Office	(606) 886-6861