DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burrell, Stacy C	DOIID	369113	NAIC NPN	7199823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	2/13/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/8/2002
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Credit Life & Health	2/13/1997	12/31/1997
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Credit Life & Health	12/31/1997	8/7/2000
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	8/7/2000	5/8/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alton E Blakley Co Inc. [The]	399545	Agent - Credit Life & Health	5/6/1998	8/7/2000
Inactive	Alton E Blakley Co Inc. [The]	399545	Agent - Limited Line Credit	8/7/2000	5/8/2002