DEPARTMENT OF INSURANCE

Name	Mozingo, Mark Whitley	DOIID	837019	NAIC NPN	17183087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/27/2014	6/1/2017
Inactive	Resident	Agent	Health	3/27/2014	6/1/2017
Inactive	Resident	Agent	Casualty	7/8/2014	6/1/2017
Inactive	Resident	Agent	Property	7/8/2014	6/1/2017
Withdrawn	Resident	Agent	Travel

*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

Type	Address
Business / Home Office	Winchester Insurance Agency 41 South Main St P O Box 20Winchester, KY 40391
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(859) 744-2200