DEPARTMENT OF INSURANCE
Licensee Search Details
NameBurgess, Bryan RalphDOIID636062NAIC NPN8857762
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentProperty8/14/2012 1/31/2026 
ActiveResidentAgentHealth7/24/2006 1/31/2026 
ActiveResidentAgentCasualty8/14/2012 1/31/2026 
ActiveResidentAgentLife7/24/2006 1/31/2026 
*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
TypeAddress
Business / Home Office1240 Fairway Street Bowling Green, KY 42103
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailbburgess@vanmeterins.com
Phone Information
TypePhone
Business / Home Office(270) 781-2020

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