DEPARTMENT OF INSURANCE

Name	Hazle, Dennis Routt	DOIID	364253	NAIC NPN	665555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/3/2016	7/1/2018
Inactive	Resident	Agent	General Lines	6/5/1980	8/15/2000
Inactive	Resident	Agent	Health	6/5/1980	7/1/2016
Inactive	Resident	Agent	Health Maintenance Organization	12/28/1995	3/1/2001
Inactive	Resident	Agent	Life	1/31/1967	7/1/2016
Inactive	Resident	Agent	Casualty	10/3/2016	7/1/2018

*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	620 Westport Rd Elizabethtown, KY 42701
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 769-5547