DEPARTMENT OF INSURANCE
Affiliations
NameCitizens BankDOIID398747NAIC NPN7221122
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLimited Line Credit4/2/2024 3/31/2026
DeniedResidentAgentHealth   
DeniedResidentAgentLife   
InactiveResidentAgentCredit Life & Health3/31/19828/7/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFranklin Life Insurance Company (The)300779Agent - Credit Life & Health11/4/19943/20/1996
InactiveIllinois Mutual Life Insurance Company301479Agent - Life4/3/200711/4/2011
InactiveIllinois Mutual Life Insurance Company301479Agent - Limited Line Credit4/2/200711/9/2011
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health3/31/19826/20/1996
InactiveInvestors Heritage Life Insurance Company300363Agent - Health9/22/20062/13/2013
InactiveInvestors Heritage Life Insurance Company300363Agent - Life9/22/20062/13/2013
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit9/8/20003/18/2020
ActiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit4/8/2024 
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health12/8/19998/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit8/7/20009/8/2000
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health1/23/199612/8/1999
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAdams, Jonathan Lee 603398Agent - Limited Line Credit  
InactiveAsher, Charles Anthony 376947Agent - Limited Line Credit1/5/200410/11/2010
InactiveBray, Jenny Lee 307901Agent - Limited Line Credit2/8/20057/31/2014
InactiveCash, Violet A 334416Agent - Credit Life & Health10/5/19944/29/1996
InactiveCash, Violet A 334416Agent - Limited Line Credit1/5/200410/31/2006
InactiveCraig, Corey Carson 387121Agent - Limited Line Credit2/8/20051/31/2015
DeniedDyehouse, Mark Yadon 1066259Agent - Limited Line Credit  
InactiveGraham, Connie Lynn 344592Agent - Limited Line Credit1/5/20042/8/2005
InactiveHelton, Tarina Joy 332169Agent - Limited Line Credit2/13/20133/2/2017
InactiveHutchinson, Brian Edward 346637Agent - Limited Line Credit12/8/20211/31/2022
ActiveLynch, Donna Gail 525328Agent - Limited Line Credit4/2/2024 
InactiveNeeley, Jeremy Paul 610417Agent - Limited Line Credit12/8/20213/31/2022
InactiveNorris, Kendall Lewis 320277Agent - Limited Line Credit1/5/20042/8/2005
InactiveParkey, Glen Douglas 341747Agent - Limited Line Credit2/13/20138/31/2014
InactivePhelps, Delores Ann 303567Agent - Credit Life & Health6/20/19969/9/1998
InactivePhelps, Delores Ann 303567Agent - Limited Line Credit1/5/200411/30/2009
InactiveProctor, Bobby Alfred 358574Agent - Credit Life & Health6/20/19969/9/1998
InactiveReynolds, Jeremy A 583691Agent - Limited Line Credit2/8/20053/31/2014
InactiveRidner, Trevor Dewayne 992005Agent - Limited Line Credit2/1/202310/31/2023
InactiveRose, Cheryl Jean 594014Agent - Limited Line Credit2/8/200511/28/2016
InactiveSargent, Dennis Wayne 325915Agent - Limited Line Credit2/13/20139/30/2021
InactiveShackelford, Garrett 527099Agent - Limited Line Credit1/5/20041/31/2012
DeniedShackelford, Kenneth Garrett 764626Agent - Limited Line Credit  
InactiveSmith, Edward Keith 374002Agent - Credit Life & Health7/8/19969/9/1998
InactiveSmith, Edward Keith 374002Agent - Limited Line Credit1/5/20042/8/2005
InactiveThacker, Helen Marie 381554Agent - Credit Life & Health5/8/19988/7/2000
InactiveThacker, Helen Marie 381554Agent - Limited Line Credit8/7/20002/8/2005
InactiveTodd, Barry L 363867Agent - Health9/22/20062/13/2013
InactiveTodd, Barry L 363867Agent - Life9/22/20062/13/2013

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