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 :  KENTUCKY WORKERS'' COMPENSATION 101
DOI IDNameCompletion Date Compliance Date
601462 Bader, Dijana 05/14/2025 06/30/2025
1320005 Belt, Kaitlin Mackenzie 05/14/2025 11/30/2025
504634 Carney, Mary E 05/14/2025 02/28/2026
340424 Coffey, Carla J 05/14/2025 04/30/2027
302432 Cook, Brooke Elizabeth 05/14/2025 06/30/2025
333847 Crawford, Tracy Lynn 05/14/2025 01/31/2026
514032 Dale, Sharon Elaine 05/14/2025 11/30/2025
788360 Euton, Taylor 05/14/2025 04/30/2027
336479 Gabbard, Angela Marie 05/14/2025 11/30/2025
549709 Goldener, Kristi Gail 05/14/2025 01/31/2026
334172 Gonska, Alice Kathleen 05/14/2025 11/30/2025
338657 Elliott, Lisa M 05/14/2025 09/30/2026
535834 Geary, Laura Elizabeth 05/14/2025 09/30/2026
1125156 Fawver, Alexis 05/14/2025 12/31/2025
1272265 Hawkins, Bettina Lynn 05/14/2025 02/28/2026
580906 Ballinger, Dana Marie 05/14/2025 09/30/2025
571363 Armbruster, Stephanie Leigh 05/14/2025 01/31/2026
303142 Bielefeld, Deanna J 05/14/2025 05/31/2026
710766 Miller, Cassie Rae 05/14/2025 12/31/2025
1370519 Taylor, Darion 05/14/2025 03/31/2027
526015 Thompson, Hope 05/14/2025 10/31/2025
344074 Kleier, Cindy 05/14/2025 04/30/2027
566958 Wilson, Sandra Kay 05/14/2025 06/30/2026
644552 Hoots, Joshua Adam 05/14/2025 08/31/2025
308627 Johnson, Venise W. 05/14/2025 04/30/2024
375112 Lovelace, Cynthia Anna 05/14/2025 08/31/2026
514532 Mackie, Connie Mackie 05/14/2025 12/31/2026
322004 Meredith, Edward W 05/14/2025 03/31/2026
535240 Milam, Penny Michelle 05/14/2025 08/31/2025
998251 Miller, Rachel Lynn 05/14/2025 02/28/2027
316780 Jones, Dorothea 05/14/2025 05/31/2025
541387 Reese, Janet Lee 05/14/2025 06/30/2025
315448 Milburn, Roy Anita 05/14/2025 04/30/2026
586067 Hopper, Angela Marie 05/14/2025 07/31/2025
343652 Martin, Bernita Sue 05/14/2025 11/30/2025
363873 McAlister, Kimberly Nunn 05/14/2025 07/31/2025
390625 Patrick, Doyle F 05/14/2025 07/31/2025
382379 Wheatley, Mary Patricia 05/14/2025 11/30/2025
364123 Lee, Richard Michael 05/14/2025 07/31/2025
313195 Long, Judy Bartlett 05/14/2025 11/30/2026
526017 Russell, Kimberly Jo 05/14/2025 03/31/2026
378027 Smith, Sonia L 05/14/2025 10/31/2025
339619 Stayton, Traci L 05/14/2025 10/31/2026
383631 McCubbins, Elizabeth Rose 05/14/2025 12/31/2026
345309 Payton, Desiree Lynn 05/14/2025 10/31/2026
367394 Brown, Kristi Jane 05/14/2025 12/31/2026

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