DEPARTMENT OF INSURANCE

Name	Davis, Kirt P	DOIID	900304	NAIC NPN	17465742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/25/2015	8/31/2023
Inactive	Non Resident	Agent	Health	11/25/2015	8/31/2023
Inactive	Non Resident	Agent	Property	11/25/2015	8/31/2023
Inactive	Non Resident	Agent	Casualty	11/25/2015	8/31/2023

*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	539 Brown Cir Elk Grove Vlg, IL 600072768
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(847) 895-0143