DEPARTMENT OF INSURANCE

Name	Midstates Insurance Services Inc.	DOIID	398889	NAIC NPN	7221245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Health	1/4/1994	3/27/2020
Inactive	Resident	Agent	Life	5/31/2001	3/27/2020

*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.

Address Information

Type	Address
Business / Home Office	1733 Campus Pl Ct Suite 11Bowling Green, KY 42102

Internet Information

Type	Address
Business Email	wchoehn@yahoo.com