DEPARTMENT OF INSURANCE

Name	Moore Jr, Harold David	DOIID	393187	NAIC NPN	7210055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2019
Inactive	Resident	Agent	Property	8/15/2000	4/1/2019
Inactive	Resident	Agent	General Lines	8/28/1979	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	Madison Insurance Agency, Inc. 1001 Gibson Bay Drive, Ste. 201 , Richmond, KY 40475
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(859) 626-8638