DEPARTMENT OF INSURANCE

Name	Tiller, William Todd	DOIID	333718	NAIC NPN	3044010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/19/2002		6/30/2026
Active	Resident	Agent	Health	8/19/2002		6/30/2026
Active	Resident	Agent	Life	8/19/2002		6/30/2026
Active	Resident	Agent	Casualty	8/19/2002		6/30/2026
Inactive	Resident	Agent	General Lines	12/27/1993	8/15/2000

*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	04/15/2024	06/30/2024	01/23/2024	01/23/2024	Yes

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	446 North Danville By-Pass Danville, KY 40422
Residence	Not Public Information