DEPARTMENT OF INSURANCE

Name	Crooks, Tina S	DOIID	382647	NAIC NPN	7205723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	11/16/1999	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	9/5/2005
Inactive	Resident	Agent	Health	12/7/2000	7/1/2006
Inactive	Resident	Agent	Life	8/9/2000	9/5/2005
Inactive	Resident	Agent	Casualty	8/15/2000	9/5/2005

*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	1206 Highland Avenue Carrollton, KY 41008
Mailing	313 Ninth Street Carrollton, KY 41008
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 732-6608