DEPARTMENT OF INSURANCE

Name	Williams, Michael Wilson	DOIID	359936	NAIC NPN	3217484

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	5/23/2006	6/30/2027
Active	Resident	Agent	Life	8/27/1996	6/30/2027
Active	Resident	Agent	Casualty	5/23/2006	6/30/2027
Active	Resident	Agent	Health	8/27/1996	6/30/2027

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	04/15/2025	04/15/2025	Yes

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	125 First St., Ste. 102 HendersonHenderson, KY 42420
Mailing	125 First St., Ste. 102 Henderson, KY 42420
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 212-3685