DEPARTMENT OF INSURANCE

Name	Smith, Adam Michael	DOIID	721622	NAIC NPN	15645747

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	3/23/2010	12/31/2024
Active	Resident	Agent	Property	3/23/2010	12/31/2024
Active	Resident	Agent	Life	5/13/2013	12/31/2024

*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	10/15/2024	12/31/2024

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	2821 S Hurstbourne Pkwy Louisville, KY 40220
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 499-6567