DEPARTMENT OF INSURANCE

Name	Diersing, Mary Ann	DOIID	360215	NAIC NPN	7195942

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	11/12/1996	1/1/2013
Inactive	Resident	Agent	General Lines	11/12/1996	8/15/2000
Inactive	Resident	Agent	Health	11/12/1996	1/1/2013
Inactive	Resident	Agent	Casualty	8/15/2000	1/1/2013
Inactive	Resident	Agent	Property	8/15/2000	1/1/2013

*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	10924 Hobbs Station Rd Louisville, KY 40223
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 345-6610