DEPARTMENT OF INSURANCE

Name	Moran, Jeremy Dale	DOIID	506291	NAIC NPN	7212208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/2/2001	7/1/2010
Active	Resident	Agent	Property	2/22/2017		7/31/2026
Active	Resident	Agent	Casualty	2/22/2017		7/31/2026
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/25/2000	5/25/2001
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	1/9/2017

*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	05/15/2024	07/31/2024	06/21/2024	06/21/2024	Yes

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	5911 Richpond Rd Bowling Green, KY 421040382
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 217-4693
Fax	(270) 793-7127