DEPARTMENT OF INSURANCE

Name	Blackaby, Tiffany Dawn	DOIID	959387	NAIC NPN	18463713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/28/2017	6/1/2022
Inactive	Resident	Agent	Health	8/21/2017	6/1/2022
Inactive	Resident	Agent	Casualty	6/19/2020	6/1/2022
Inactive	Resident	Agent	Property	7/28/2020	6/1/2022
Inactive	Resident	Temporary Agent	Property	5/22/2020	6/20/2020
Inactive	Resident	Temporary Agent	Casualty	5/22/2020	6/20/2020

*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	R B Brown Insurance Agency 949 Lousiville Rd. Ste CFrankfort, KY 406011410
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 875-1301