DEPARTMENT OF INSURANCE

Name	Mulkey, Jack Shannon	DOIID	712594	NAIC NPN	14819079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Apprentice Adjuster	Not Applicable	10/2/2009	10/2/2010
Denied	Resident	Independent Adjuster	Property & Casualty

*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	53 Coleman Street PO Box 201Ivel, KY 41642
Residence	Not Public Information