DEPARTMENT OF INSURANCE
Licensee Search Details
NameCustenborder, Patrick RaymondDOIID356268NAIC NPN1488988
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife9/5/1995 3/31/2025 
ActiveNon ResidentAgentHealth9/5/1995 3/31/2025 
InactiveNon ResidentAgentHealth Maintenance Organization12/30/19983/1/2001  
*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
TypeAddress
ResidenceNot Public Information
Business / Home OfficePhelan Insurance Agency Inc P.O. Box 1 863 East Main StreetVersailles, OH 45380
Phone Information
TypePhone
Business / Home Office(937) 526-3111

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