DEPARTMENT OF INSURANCE

Name	Grossman, Heather Carr	DOIID	368196	NAIC NPN	7199419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Denied	Resident	Administrator	Not Applicable
Active	Resident	Agent	Health	4/25/1995	11/30/2024
Active	Resident	Agent	Life	4/25/1995	11/30/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

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	1246 South Third St Louisville, KY 40203
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 637-4041