DEPARTMENT OF INSURANCE

Name	The Modern Insurance Store	DOIID	815553	NAIC NPN	17016829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	7/25/2013		3/31/2027
Active	Non Resident	Agent	Life	7/25/2013		3/31/2027

*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.

Address Information

Type	Address
Business / Home Office	4953 Caraway Dr Cincinnati, OH 45244

Internet Information

Type	Address
Business Email	moderninsurancestore.com - Bad Email-Correction requested
Business Email	info@moderninsurancestore.com

Phone Information

Type	Phone
Business / Home Office	(866) 572-9255