DEPARTMENT OF INSURANCE

Name	Miller, Matthew Lee	DOIID	835150	NAIC NPN	17205938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/7/2020		7/31/2024
Active	Non Resident	Agent	Casualty	8/7/2020		7/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	8/15/2014	5/31/2020

*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	05/15/2024	07/31/2024

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	7885 Black Chapel Rd Se Elizabeth, IN 471177541
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(402) 677-5649