DEPARTMENT OF INSURANCE

Name	Nelson Jr, Raymond Hershel	DOIID	393910	NAIC NPN	829706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/25/1981		12/31/2024
Active	Resident	Agent	Casualty	8/15/2000		12/31/2024
Active	Resident	Agent	Property	8/15/2000		12/31/2024
Active	Resident	Agent	Life	11/25/1981		12/31/2024
Inactive	Resident	Agent	General Lines	9/17/1981	8/15/2000
Active	Resident	Surplus Lines Broker	Not Applicable	7/3/1989		12/31/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

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	Raymond Nelson Ins Agency Inc 3205 Lafayette RdHopkinsville, KY 422403815
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 885-1800