DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlackburn, Mark DOIID376117NAIC NPN7202890
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentProperty5/29/2007 3/31/2026 
ActiveResidentAgentCasualty5/29/2007 3/31/2026 
ActiveResidentAgentLife8/17/2010 3/31/2026 
ActiveResidentAgentHealth8/17/2010 3/31/2026 
InactiveResidentAgentLimited Line Credit8/19/20035/31/2004  
InactiveResidentAgentCredit Life & Health12/7/19921/23/1997  
*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 Office202 Merchant Street Ste A Cadiz, KY 42211
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(270) 522-5700

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