DEPARTMENT OF INSURANCE

Name	Embry, Frederick A	DOIID	359678	NAIC NPN	227203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/30/2002	11/30/2009
Inactive	Non Resident	Agent	General Lines	4/9/1984	8/15/2000
Inactive	Non Resident	Agent	Health	8/30/2002	11/30/2009
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2009
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2009

*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	12721 Metcalf Ave. #103 Overland Park, KS 66213
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(913) 312-5986