DEPARTMENT OF INSURANCE

Name	Henry, Kelly	DOIID	966761	NAIC NPN	17960259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/7/2017	9/30/2022
Inactive	Non Resident	Agent	Property	9/7/2017	9/30/2022
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/24/2019	9/30/2022

*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	6811 Mayfield Rd Apt 1290 Mayfield Heights, OH 441242227
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(877) 776-2436