DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlack, Nicole MarieDOIID669516NAIC NPN9964575
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentApprentice AdjusterNot Applicable4/28/20084/16/2009  
InactiveNon ResidentIndependent AdjusterWorkers' Compensation4/16/20093/31/2014  
*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
TypeAddress
Business / Home OfficeEdgewood Partners Insurance 600 E 96th St Ste 400Indianapolis, IN 462403842
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailnikki.black@epicbrokers.com - Bad Email-Correction requested
Internetlibertymutual.com
Phone Information
TypePhone
Business / Home Office(317) 582-1700

© Commonwealth of Kentucky. All rights reserved.