DEPARTMENT OF INSURANCE

Name	State Ins Agency Inc	DOIID	960529	NAIC NPN	957870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	7/17/2017	3/31/2021
Inactive	Non Resident	Agent	Health	7/17/2017	3/31/2021

*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.

Address Information

Type	Address
Business / Home Office	2120 N Emerson Avenue Indianapolis, IN 462183912

Internet Information

Type	Address
Business Email	apstateia@hotmail.com

Phone Information

Type	Phone
Business / Home Office	(317) 308-4200