DEPARTMENT OF INSURANCE

Name	Ford, Tara Sue	DOIID	950067	NAIC NPN	18371640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/27/2017	10/1/2023
Inactive	Resident	Agent	Property	10/9/2018	10/1/2023
Inactive	Resident	Agent	Health	4/20/2017	10/1/2023
Inactive	Resident	Agent	Casualty	10/18/2018	10/1/2023

*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	2725 Frederica St Owensboro, KY 423015443
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 302-9182