DEPARTMENT OF INSURANCE

Name	Wyatt, Virginia Ann	DOIID	340483	NAIC NPN	7187261

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Health	4/17/1992	11/30/2007
Inactive	Resident	Agent	Health Maintenance Organization	4/1/1998	3/1/2001

*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
Residence	Not Public Information
Business / Home Office	13550 Triton Park Blvd Louisville, KY 40223