DEPARTMENT OF INSURANCE

Name	Verschoor, Susan S	DOIID	338924	NAIC NPN	1167174

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/9/1997		11/30/2025
Active	Non Resident	Agent	Health	7/9/1997		11/30/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	7/11/1997	5/19/1999
Active	Non Resident	Life & Health Consultant	Not Applicable	8/9/2006		11/30/2025

*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	312 Elm St Ste 2400 Cincinnati, OH 452022701
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(513) 964-1008