DEPARTMENT OF INSURANCE

Name	Crown Life Agency West Incorporated	DOIID	400984	NAIC NPN	7222812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Life	4/12/1990	3/31/1999
Inactive	Resident	Agent	Health	4/12/1990	3/31/1999

*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	914 South Main St P . O. Box 420Hopkinsville, KY 42241