DEPARTMENT OF INSURANCE

Name	Henderson, Travis Amel	DOIID	377956	NAIC NPN	7203689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/8/1981	10/1/2011
Inactive	Resident	Agent	Property	8/15/2000	10/1/2011
Inactive	Resident	Agent	Casualty	8/15/2000	10/1/2011
Inactive	Resident	Agent	General Lines	12/10/1980	8/15/2000
Inactive	Resident	Agent	Health	7/8/1981	10/1/2011

*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	123 Frontier Blvd. #3 Stanford, KY 40484
Residence	Not Public Information