DEPARTMENT OF INSURANCE

Name	Risotti, Mary Teresa	DOIID	363079	NAIC NPN	7197253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/25/1997		11/30/2025
Active	Resident	Agent	Life	9/25/1997		11/30/2025
Inactive	Resident	Agent	Health Maintenance Organization	9/25/1997	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	6/23/1998	3/1/2001

*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

Type	Address
Business / Home Office	4410 Fancy Gap Court Louisville, KY 40299
Mailing	4410 Fancy Gap Court Louisville, KY 40299
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 267-0057
Business / Home Office	(502) 267-0057