DEPARTMENT OF INSURANCE

Name	Beckner, Lisa Marie	DOIID	361266	NAIC NPN	7196429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/17/1987	2/8/2002
Inactive	Resident	Agent	Vehicle Physical Damage	9/30/1998	2/8/2002
Inactive	Resident	Agent	Life	1/22/2004	11/1/2011
Inactive	Resident	Agent	Credit Personal Property & Unemployment	12/29/1988	12/10/1998
Inactive	Resident	Agent	Credit Life & Health	11/10/1998	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	1/22/2004	10/31/2011

*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
Mailing	1225 Duncan Lane Providence, KY 42450
Business / Home Office	Integra Bank P.O. Box 80 104 Main StreetClay, KY 42404

Phone Information

Type	Phone
Business / Home Office	(270) 664-6482