DEPARTMENT OF INSURANCE

Name	Willis, David Wayne	DOIID	388502	NAIC NPN	7208312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	1/30/2001		7/31/2025
Active	Resident	Agent	Casualty	11/26/2003		7/31/2025
Active	Resident	Agent	Property	1/28/2004		7/31/2025
Active	Resident	Agent	Limited Line Credit	8/7/2000		7/31/2025
Active	Resident	Agent	Life	1/30/2001		7/31/2025
Inactive	Resident	Agent	Credit Life & Health	8/13/1999	8/7/2000
Active	Resident	Life & Health Consultant	Not Applicable	11/30/2015		7/31/2025

*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	435 N Whittington Pkwy Ste 300 Louisville, KY 402224184
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 894-2100