DEPARTMENT OF INSURANCE

Name	Charlene Montgomery LLC	DOIID	647415	NAIC NPN	9034214

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	6/26/2009		3/31/2025
Active	Resident	Agent	Health	6/26/2009		3/31/2025

*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	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	Charlene Montgomery, Llc 214 Edgewood DrNicholasville, KY 40356

Internet Information

Type	Address
Business Email	charlenemontgomerycharlie@gmail.com

Phone Information

Type	Phone
Business / Home Office	(859) 885-5237