DEPARTMENT OF INSURANCE

Name	Eisenman, Kelly A	DOIID	690750	NAIC NPN	11841392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/7/2009	10/31/2010
Inactive	Resident	Agent	Health	4/14/2009	10/31/2010
Inactive	Resident	Agent	Casualty	4/23/2009	10/31/2010
Inactive	Resident	Agent	Property	11/6/2008	10/31/2010

*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
Residence	Not Public Information
Business / Home Office	11037 Persimmon Grove California, KY 41007

Phone Information

Type	Phone
Business / Home Office	(513) 378-5616