DEPARTMENT OF INSURANCE

Name	Russell, Heath D	DOIID	931581	NAIC NPN	18131533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/31/2023		11/30/2024
Inactive	Non Resident	Agent	Property	10/3/2016	11/30/2018
Inactive	Non Resident	Agent	Casualty	10/3/2016	11/30/2018

*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	09/15/2024	11/30/2024

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
Residence	Not Public Information
Business / Home Office	1006 S 3rd Ave Ozark, MO 657217707

Phone Information

Type	Phone
Business / Home Office	(417) 234-1389