DEPARTMENT OF INSURANCE

Name	Smith, Mark Douglas	DOIID	385528	NAIC NPN	7207012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Vehicle Physical Damage	4/8/1998	9/28/1998
Inactive	Resident	Agent	Debtors Life	11/12/1997	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	11/1/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/31/2023
Inactive	Resident	Agent	Credit Life & Health	11/12/1997	8/7/2000

*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	7791 Dixie Highway Suite BFlorence, KY 41042
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(859) 525-1725