DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlackburn, Elmer TimothyDOIID375670NAIC NPN1891133
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentCasualty8/15/20001/1/2023  
InactiveResidentAgentProperty8/15/20001/1/2023  
InactiveResidentAgentHealth Maintenance Organization9/16/19966/2/1999  
InactiveResidentAgentHealth6/12/19901/1/2023  
InactiveResidentAgentGeneral Lines1/31/19948/15/2000  
InactiveResidentAgentLife6/12/19901/1/2023  
InactiveResidentIndependent AdjusterProperty & Casualty2/18/19971/1/2023  
*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 Office2684 Lower Pompey Road Shelbiana, KY 41562
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailblackburn5077@bellsouth.net
Phone Information
TypePhone
Business / Home Office(606) 432-5077

© Commonwealth of Kentucky. All rights reserved.