DEPARTMENT OF INSURANCE

Name	Carroll, Charles Stanton	DOIID	355552	NAIC NPN	1471653

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		12/31/2025
Active	Non Resident	Agent	Life	11/29/2001		12/31/2025
Active	Non Resident	Agent	Health	11/29/2001		12/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		12/31/2025
Inactive	Non Resident	Agent	General Lines	5/1/1996	8/15/2000

*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
Residence	Not Public Information
Business / Home Office	812 Spring St P.O. Box 326Jeffersonville, IN 47131

Phone Information

Type	Phone
Business / Home Office	(812) 282-1077