DEPARTMENT OF INSURANCE

Name	Newsome, Mitzi Darlene	DOIID	344033	NAIC NPN	7188800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/15/1996	9/1/2019
Inactive	Resident	Agent	Property	4/30/2001	9/1/2019
Inactive	Resident	Agent	Casualty	4/30/2001	9/1/2019
Inactive	Resident	Agent	General Lines	7/2/1998	8/15/2000
Inactive	Resident	Agent	Life	4/15/1996	9/1/2019

*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	4022 Pinta Dr Owensboro, KY 423018781
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.assuredptrnl.com

Phone Information

Type	Phone
Business / Home Office	(270) 926-4550