DEPARTMENT OF INSURANCE
Licensee Search Details
NameLong, Michelle MarieDOIID360716NAIC NPN738568
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentGeneral Lines5/4/19933/31/1996  
InactiveResidentAgentLife11/12/200410/31/2005  
InactiveResidentAgentHealth Maintenance Organization12/10/19963/1/2001  
InactiveResidentAgentHealth11/12/200410/31/2005  
*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
Business / Home OfficeValues Based Advisory 1482 Atlanta CourtFlorence, KY 41042
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailmick16@fuse.net - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(859) 341-1999

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