DEPARTMENT OF INSURANCE

Course Attendance Information

PR01597: Kentucky Self Insurers Association
Experior Provider Number:	S16710
Provider Type:	Independent
Certification Date:	7/26/2011
Address:	5932 Timber Ridge Dr. Ste. 101 Prospect, KY 40059
Contact:	Angela Underwood
Telephone:	502-223-5322
Status:	Active
Termination Date:	N/A
View Instructors

Course Attendees

Course Name : Staffing Agency Workers Comp Safety Overview
DOI ID	Name	Completion Date	Compliance Date
367394	Brown, Kristi Jane	05/21/2024	12/31/2024
338657	Elliott, Lisa M	05/21/2024	09/30/2024
1063774	Taylor, Stephanie Elaine	05/21/2024	10/31/2024
322397	Thompson, Linda Carol	05/21/2024	08/31/2025
340424	Coffey, Carla J	05/21/2024	04/30/2025
535834	Geary, Laura Elizabeth	05/21/2024	09/30/2024
375112	Lovelace, Cynthia Anna	05/21/2024	08/31/2024
864490	Senters, Kristine L	05/21/2024	02/28/2026
549323	Askins, Julia A	05/21/2024	03/31/2026
364123	Lee, Richard Michael	05/21/2024	07/31/2025
571363	Armbruster, Stephanie Leigh	05/21/2024	01/31/2026
671252	Brown, Michael Joseph	05/21/2024	11/30/2024
312407	English, Patrick Gerard	05/21/2024	10/31/2025
344074	Kleier, Cindy	05/21/2024	04/30/2025
514532	Mackie, Connie Mackie	05/21/2024	12/31/2026
343652	Martin, Bernita Sue	05/21/2024	11/30/2025
390625	Patrick, Doyle F	05/21/2024	07/31/2025
752799	Petrie, Heather Lyn	05/21/2024	02/28/2026
339619	Stayton, Traci L	05/21/2024	10/31/2024
586067	Hopper, Angela Marie	05/21/2024	07/31/2025
316780	Jones, Dorothea	05/21/2024	05/31/2025
333152	Ladegast, Linda Carol	05/21/2024	01/31/2026
313195	Long, Judy Bartlett	05/21/2024	11/30/2024
1273369	Sears, Regina	05/21/2024	07/31/2024
336479	Gabbard, Angela Marie	05/21/2024	11/30/2025
1272265	Hawkins, Bettina Lynn	05/21/2024	02/28/2026
347534	McIntosh, Robin C	05/21/2024	01/31/2026
322004	Meredith, Edward W	05/21/2024	03/31/2026
535240	Milam, Penny Michelle	05/21/2024	08/31/2025
345309	Payton, Desiree Lynn	05/21/2024	10/31/2024
351204	Snook, Ruth Lynn	05/21/2024	02/28/2026
333847	Crawford, Tracy Lynn	05/21/2024	01/31/2026
883746	Wilson, Robert Wayne	05/21/2024	12/31/2025

PR01597: Kentucky Self Insurers Association