DEPARTMENT OF INSURANCE

Name	Squires, Scott A	DOIID	386410	NAIC NPN	7207401

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	3/9/2005	3/31/2006
Inactive	Resident	Agent	Property	3/4/2005	3/31/2006
Inactive	Resident	Agent	Life	9/28/2001	7/1/2002
Inactive	Resident	Agent	Health	9/28/2001	7/1/2002
Inactive	Resident	Agent	General Lines	8/11/1992	8/15/2000

*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	102 Brendenwood Ct Elizabethtown, KY 42701
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(812) 280-1360