DEPARTMENT OF INSURANCE

Name	Champlin, Terri Marie	DOIID	502498	NAIC NPN	7211141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Vehicle Physical Damage	6/15/2000		10/31/2024
Active	Resident	Agent	Life	10/24/2017		10/31/2024
Active	Resident	Agent	Limited Line Credit	8/7/2000		10/31/2024
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Debtors Life	3/6/2000	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	3/6/2000	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	3/6/2000	8/7/2000

*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	08/15/2024	10/31/2024

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	11260 Chester Rd Ste 160 Cincinnati, OH 452464049
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(513) 771-0336