DEPARTMENT OF INSURANCE
Licensee Search Details
NameBurden, Samuel AdamDOIID747980NAIC NPN16150503
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveResidentAgentProperty6/7/2024 5/31/2026 
ActiveResidentAgentSelf-Service Storage Space8/20/2020 5/31/2026 
ActiveResidentAgentCasualty6/7/2024 5/31/2026 
*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
TypeAddress
Business / Home Office1711 Destiny Lane Ste 122Bowling Green, KY 42104
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(270) 781-2020

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