DEPARTMENT OF INSURANCE

Name	Moulton Insurance, Inc.	DOIID	559534	NAIC NPN	7497502

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/25/2002	7/1/2016
Inactive	Resident	Agent	Property	10/25/2002	3/31/2018
Inactive	Resident	Agent	Casualty	10/25/2002	3/31/2018
Inactive	Resident	Agent	Life	10/25/2002	7/1/2016

*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	315 W Lincoln Tr Radcliff, KY 40160

Internet Information

Type	Address
Business Email	moulton@bbtel.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(270) 351-4848