DEPARTMENT OF INSURANCE

Name	Agent, Melissa Ann	DOIID	383378	NAIC NPN	7206065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Credit Personal Property & Unemployment	5/14/1997	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	2/22/1995	8/7/2000
Pending Replacement	Resident	Agent	Limited Line Credit	12/27/2021		10/31/2024

*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	08/15/2024	10/31/2024

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	116 South Main Street Po Box 231Marion, KY 42064
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 965-3188 Ext-3204