DEPARTMENT OF INSURANCE

Name	Sisk, Dawn Marie	DOIID	336511	NAIC NPN	7185548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		10/31/2024
Active	Resident	Agent	Property	8/15/2000		10/31/2024
Active	Resident	Agent	Life	12/10/1996		10/31/2024
Active	Resident	Agent	Health	12/10/1996		10/31/2024
Inactive	Resident	Agent	General Lines	7/31/2000	8/15/2000
Inactive	Resident	Solicitor	General Lines	5/14/1997	7/14/2000

*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	08/15/2024	10/31/2024

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
Residence	Not Public Information
Business / Home Office	Tatum, Hester & Burkhead Insurance P.O. Box 1010 108 N Main StHopkinsville, KY 42241

Phone Information

Type	Phone
Business / Home Office	(270) 886-6668