DEPARTMENT OF INSURANCE

Name	Puckett, Justin Edward	DOIID	666395	NAIC NPN	9759536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	10/30/2007	7/31/2025
Active	Resident	Agent	Health	10/30/2007	7/31/2025
Active	Resident	Agent	Property	11/27/2007	7/31/2025
Active	Resident	Agent	Casualty	11/27/2007	7/31/2025

*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	691 Oscar Rd Barlow, KY 42024
Residence	Not Public Information