DEPARTMENT OF INSURANCE

Name	Buckman, Thomas	DOIID	954511	NAIC NPN	18412887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Limited Line Credit	2/22/2023		10/31/2024
Inactive	Resident	Agent	Life	5/31/2017	11/1/2018

*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	08/15/2024	10/31/2024

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
Business / Home Office	144 Public Square Columbia, KY 42728
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 384-6433