DEPARTMENT OF INSURANCE

Name	Blackburn, Athea Jean	DOIID	388058	NAIC NPN	7208101

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/18/2008		9/30/2025
Active	Resident	Agent	Life	10/28/2008		9/30/2025
Active	Resident	Agent	Property	9/16/2008		9/30/2025
Active	Resident	Agent	Casualty	9/16/2008		9/30/2025
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	11/30/2003
Inactive	Resident	Agent	General Lines	7/18/1997	3/31/1998
Inactive	Resident	Agent	Credit Personal Property & Unemployment	1/14/1994	1/17/1997
Inactive	Resident	Agent	Credit Life & Health	6/10/1996	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	180 Town Mountain Rd, Suite 113 Pikeville, KY 41501
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 477-7827