DEPARTMENT OF INSURANCE

Name	Evans, Kimberly Dawn	DOIID	596330	NAIC NPN	8247817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	11/12/2004		4/30/2025
Active	Resident	Agent	Health	11/12/2004		4/30/2025

*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	17531 Fisherville Woods Dr Fisherville, KY 40023
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 384-1500