DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crittenden, Blake Martin	DOIID	1070314	NAIC NPN	17296501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/10/2020		1/31/2025
Active	Non Resident	Agent	Health	1/10/2020		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	1/17/2020	7/12/2022
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	1/17/2020	7/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Life
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Health