DEPARTMENT OF INSURANCE

Name	Collier Insurance Services, LLC	DOIID	817404	NAIC NPN	17035199

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Life	8/14/2013	3/31/2019

*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	232 West Poplar Street Elizabethtown, KY 42701