DEPARTMENT OF INSURANCE

Name	Moore Jr, Charles Minor	DOIID	392191	NAIC NPN	721481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	6/6/2012
Inactive	Resident	Agent	General Lines	3/15/1961	8/15/2000
Inactive	Resident	Agent	Health	4/24/1959	11/16/2011
Inactive	Resident	Agent	Casualty	8/15/2000	6/6/2012
Inactive	Resident	Agent	Life	4/24/1959	11/16/2011
Inactive	Resident	Property & Casualty Consultant	Not Applicable	1/3/1983	6/6/2012
Inactive	Resident	Reinsurance Intermediary Manager	Not Applicable	3/1/1996	2/4/2011
Inactive	Resident	Surplus Lines Broker	Not Applicable	11/1/1970	6/6/2012

*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	1007 State Street P.O. Box 7500Bowling Green, KY 42102
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 843-9054