DEPARTMENT OF INSURANCE

Name	Mr. Insurance, Inc.	DOIID	399163	NAIC NPN	7221449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	6/25/2021		3/31/2025
Active	Resident	Agent	Casualty	6/25/2021		3/31/2025
Inactive	Resident	Agent	Health	3/5/1987	3/31/2009
Inactive	Resident	Agent	General Lines	5/5/1986	8/15/2000
Inactive	Resident	Agent	Life	3/5/1987	3/31/2009

*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	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	6407 Bardstown Road #143 Louisville, KY 40291

Phone Information

Type	Phone
Business / Home Office	(502) 499-6333