DEPARTMENT OF INSURANCE

Name	Smith, Timothy	DOIID	352433	NAIC NPN	7192514

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/13/2018	9/1/2023
Inactive	Resident	Agent	Life	8/13/2018	9/1/2023
Inactive	Resident	Agent	General Lines	8/13/1992	8/15/2000
Inactive	Resident	Agent	Casualty	8/13/2018	9/1/2023
Inactive	Non Resident	Agent	Limited Line Credit	8/7/2000	5/3/2018
Inactive	Resident	Agent	Property	8/13/2018	9/1/2023
Inactive	Resident	Agent	Credit Life & Health	4/27/2000	8/7/2000

*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	107 Right Fork Rockhouse Elkhorn City, KY 41522
Residence	Not Public Information

Internet Information

Type	Address
Business Email	smitht0818@gmail.com