DEPARTMENT OF INSURANCE

Name	Archer, Tina M	DOIID	719803	NAIC NPN	8705400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	12/15/2009	11/30/2012
Inactive	Non Resident	Agent	Life	12/15/2009	11/30/2012

*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	Onb Insurance Group Inc 999 Ohio St Box 1488Terre Haute, IN 47808
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(812) 478-6009