DEPARTMENT OF INSURANCE

Name	Sandifer, William Bradley	DOIID	607791	NAIC NPN	8455129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	12/21/2018	9/30/2024
Active	Resident	Agent	Casualty	12/21/2018	9/30/2024
Active	Resident	Agent	Property	12/21/2018	9/30/2024
Active	Resident	Agent	Health	12/21/2018	9/30/2024
Active	Resident	Surplus Lines Broker	Not Applicable	7/28/2023	9/30/2024

*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	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

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	4057 Lafayette Rd Hopkinsville, KY 422405351
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 886-3939