DEPARTMENT OF INSURANCE
Licensee Search Details
NameBush, Jerry ClydeDOIID865839NAIC NPN17478536
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
Pending ReplacementResidentAgentLife1/21/2015 10/31/2025 
Pending ReplacementResidentAgentProperty2/24/2015 10/31/2025 
Pending ReplacementResidentAgentHealth1/21/2015 10/31/2025 
Pending ReplacementResidentAgentCasualty3/17/2015 10/31/2025 
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
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 Office5966 Scottsville Rd Ste 4 Bowling Green, KY 421047908
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailCON.BUSH1@GMAIL.COM
Phone Information
TypePhone
Business / Home Office(270) 779-9185

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