DEPARTMENT OF INSURANCE

Name	Beauchamp, Evan Frederick	DOIID	539956	NAIC NPN	1463935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	5/1/2009		1/31/2027
Active	Resident	Agent	Property	5/1/2009		1/31/2027
Active	Resident	Agent	Casualty	5/1/2009		1/31/2027
Active	Resident	Agent	Life	5/1/2009		1/31/2027
Withdrawn	Resident	Agent	Personal Lines
Inactive	Resident	Surplus Lines Broker	Not Applicable	6/2/2015	1/31/2019

*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. 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	Equine Insurance Specialists, Llc 120 Holton WayGeorgetown, KY 403249445
Residence	Not Public Information

Internet Information

Type	Address
Business Email	evan@insureyourhorse.com

Phone Information

Type	Phone
Business / Home Office	(859) 317-2688