DEPARTMENT OF INSURANCE

Name	Kelly, Jim	DOIID	352964	NAIC NPN	7192769

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Credit Personal Property & Unemployment	12/6/1994	9/30/1996
Inactive	Resident	Agent	Credit Life & Health	9/25/1992	3/31/1999

*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	P O Box 2177 Hazard, KY 41701