DEPARTMENT OF INSURANCE

Name	Pettys, Ronald A	DOIID	601495	NAIC NPN	8358319

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	4/26/2005	1/22/2009
Inactive	Non Resident	Agent	Life	1/13/2010	3/31/2011
Inactive	Non Resident	Agent	Health	12/19/2008	3/31/2011
Inactive	Resident	Apprentice Adjuster	Not Applicable	1/18/2005	4/26/2005
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	7/11/2011	3/31/2013

*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	4613 Meadow Springs Dr Jeffersonville, IN 47130
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(812) 841-0916