DEPARTMENT OF INSURANCE

Name	Life of Georgia Agency Inc.	DOIID	400268	NAIC NPN	2351872

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	12/30/1998	1/27/2006
Inactive	Non Resident	Agent	Life	12/30/1998	1/27/2006

*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	1203 Ashley Circle Bowling Green, KY 42104