DEPARTMENT OF INSURANCE
Affiliations
NameCitizens Union Bank of ShelbyvilleDOIID398748NAIC NPN7221123
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit8/7/20008/1/2020 
InactiveResidentAgentCredit Life & Health7/27/19938/7/2000 
InactiveResidentAgentHealth12/7/199811/1/2011 
InactiveResidentAgentLife12/7/199811/1/2011 
InactiveResidentAgentMortgage Redemption7/27/19938/7/2000 
* 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
InactiveAthene Annuity & Life Assurance Company301798Agent - Limited Line Credit6/30/200610/17/2014
InactiveInvestors Heritage Life Insurance Company300363Agent - Health12/7/199811/1/2011
InactiveInvestors Heritage Life Insurance Company300363Agent - Life12/7/199811/1/2011
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/20003/18/2020
InactiveInvestors Heritage Life Insurance Company300363Agent - Mortgage Redemption3/30/19958/7/2000
InactiveLiberty Life Insurance Company301542Agent - Limited Line Credit8/7/20006/30/2006
InactiveLiberty Life Insurance Company301542Agent - Mortgage Redemption4/7/19988/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health9/16/19988/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit8/7/20008/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health7/27/19939/16/1998
InactiveTransamerica Premier Life Insurance Company300558Agent - Mortgage Redemption7/27/19939/16/1998
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBaldwin, Heidi S 580302Agent - Limited Line Credit1/13/20046/25/2004
InactiveBanta, Zachary Dean 681409Agent - Limited Line Credit7/22/20106/28/2013
InactiveBorders, George Edward 387682Agent - Credit Life & Health8/5/19948/7/2000
InactiveBorders, George Edward 387682Agent - Limited Line Credit1/25/20077/31/2015
InactiveBryant, Lee Frazier 351166Agent - Health12/7/19989/1/2011
InactiveBryant, Lee Frazier 351166Agent - Life12/7/19989/1/2011
InactiveBurchett, Stephen Bradley 329395Agent - Limited Line Credit1/25/20078/6/2009
InactiveBurton, William F 304922Agent - Credit Life & Health5/5/19978/27/1997
InactiveCantrell-May, Veronica Louise 728679Agent - Limited Line Credit7/22/20106/30/2011
InactiveCatlett, Jason Thomas 527134Agent - Limited Line Credit2/20/20031/25/2007
InactiveChamness, Vicki L 325118Agent - Credit Life & Health5/5/19974/6/1998
InactiveCherry, Jonathan Mack 689146Agent - Limited Line Credit7/22/20104/6/2012
InactiveCole, Jessica Cole 728639Agent - Limited Line Credit7/22/20104/30/2014
InactiveCox, Grace Elizabeth 689147Agent - Limited Line Credit7/22/20104/30/2011
InactiveCox, Stephanie Leigh 728680Agent - Limited Line Credit7/22/201012/31/2011
InactiveCrafton, John Samuel 728681Agent - Limited Line Credit7/22/201010/31/2012
InactiveDavis, Teleana Grace 575211Agent - Limited Line Credit1/13/20057/3/2018
InactiveDawkins, Shae Andrea 547156Agent - Limited Line Credit2/20/20031/13/2004
InactiveDean, Larry Ross 377952Agent - Credit Life & Health7/27/19938/7/2000
InactiveDean, Larry Ross 377952Agent - Limited Line Credit8/7/20006/30/2007
InactiveEdwards, Roy Thomas 349370Agent - Credit Life & Health11/30/19988/7/2000
InactiveEdwards, Roy Thomas 349370Agent - Limited Line Credit8/7/20001/25/2007
InactiveElliott, Vicki Lynn 352427Agent - Limited Line Credit7/22/20105/31/2020
InactiveFields, Katherine Michele 689186Agent - Limited Line Credit7/22/20106/28/2013
InactiveFowler, Crystal Dawn 689166Agent - Limited Line Credit7/22/201012/31/2012
InactiveFrazier, Sherry Lynne 622300Agent - Limited Line Credit7/22/20102/16/2017
InactiveGajdzik, Amanda Carol 628844Agent - Limited Line Credit1/25/20076/7/2012
InactiveGowen, Donna Michelle 689149Agent - Limited Line Credit7/22/201012/7/2011
InactiveHardin, Stefanie Lynn 689151Agent - Limited Line Credit7/22/20105/31/2011
InactiveHargrove, Catherine Lee 630071Agent - Limited Line Credit1/25/20073/25/2011
InactiveHarrod, Kristina Marie 689150Agent - Limited Line Credit7/22/20106/7/2012
InactiveHartman, Eugene Wayne 337381Agent - Credit Life & Health7/27/19938/7/2000
InactiveHartman, Eugene Wayne 337381Agent - Limited Line Credit8/7/20008/31/2008
InactiveHawkins, Antoinette Dee 575213Agent - Limited Line Credit7/22/20103/25/2011
InactiveHawkins, Wanda Lou 365235Agent - Credit Life & Health11/30/19988/7/2000
InactiveHawkins, Wanda Lou 365235Agent - Limited Line Credit8/7/20003/31/2011
InactiveHayden, Kristen Joseph 630072Agent - Limited Line Credit1/25/200712/7/2011
InactiveHead, Sharon Rosanne 354255Agent - Limited Line Credit1/13/20048/6/2009
InactiveHornback, Stephen Wallace 346714Agent - Limited Line Credit1/13/20052/28/2015
InactiveHouse, Tanisha L. 689180Agent - Limited Line Credit7/22/20109/30/2012
InactiveJohnson, Cathy Cowan 380727Agent - Limited Line Credit1/13/20041/4/2005
InactiveJones, Melissa L. 689157Agent - Limited Line Credit7/22/20102/29/2020
InactiveKelly, Lisa Kay 542774Agent - Limited Line Credit2/20/200312/7/2011
InactiveKempf, Michael Paul 304757Agent - Limited Line Credit2/20/20037/22/2010
InactiveLafollette, Jeannie LaChelle 574929Agent - Limited Line Credit1/13/20041/13/2005
InactiveLong, James D 353738Agent - Limited Line Credit7/22/20104/12/2017
InactiveMathis, Elisa Marie 689181Agent - Limited Line Credit7/22/20101/31/2012
InactiveMcMichael, Tiffany Allene 689168Agent - Limited Line Credit7/22/20106/7/2012
InactiveMcPeters, Tara Lynn 728759Agent - Limited Line Credit7/22/20106/30/2014
InactiveMilford, Michelle Renee 339181Agent - Limited Line Credit1/25/20074/30/2008
InactiveMiller, Masha Casey 315955Agent - Credit Life & Health7/27/19938/7/2000
InactiveMiller, Masha Casey 315955Agent - Limited Line Credit8/7/20003/25/2003
InactiveMilliner, Karen Teresa 369059Agent - Credit Life & Health5/2/19978/27/1997
InactiveMorris, Barbara Ann 374301Agent - Limited Line Credit1/13/20057/22/2010
InactiveMorris, Paula M 308778Agent - Credit Life & Health7/27/199312/15/1998
InactiveMuessle, Dana M 306456Agent - Limited Line Credit1/13/20044/22/2008
InactiveMurphy, Robbie A 365716Agent - Credit Life & Health5/5/19978/27/1997
InactiveMurphy, Robbie A 365716Agent - Limited Line Credit2/20/20033/31/2006
InactiveMutka, Cara R 689167Agent - Limited Line Credit7/22/201012/7/2011
InactiveMyers, Linda Maupin 330848Agent - Limited Line Credit2/20/20032/21/2006
InactiveNation, Jennifer Nicole 689159Agent - Limited Line Credit7/22/20103/31/2013
InactiveNorton, Jessica Marie 689160Agent - Limited Line Credit7/22/20105/31/2016
InactivePage, Stewart Franklin 394407Agent - Limited Line Credit1/13/200511/22/2005
InactivePerry, Christy Amber 728762Agent - Limited Line Credit7/22/20108/31/2015
InactivePhalen, Jeffrey Matson 561940Agent - Life7/22/20103/31/2014
InactivePhalen, Jeffrey Matson 561940Agent - Limited Line Credit7/22/20105/19/2020
InactivePhenix, Justin Scott 728763Agent - Limited Line Credit7/22/201012/7/2011
InactiveQuickert, Cheryl Ann 376975Agent - Credit Life & Health12/13/19998/7/2000
InactiveQuickert, Cheryl Ann 376975Agent - Limited Line Credit8/7/20008/31/2007
InactiveRamsey, Tammeria Yvonne 626376Agent - Limited Line Credit7/22/20101/25/2011
InactiveReiners, Pamela G 622317Agent - Limited Line Credit7/22/20102/19/2016
InactiveRoberts, Wilana 368243Agent - Credit Life & Health7/27/19936/4/1998
InactiveRobinson, Julie Ann 575216Agent - Limited Line Credit1/13/20046/30/2006
InactiveSanders, T Andra Michelle 689161Agent - Limited Line Credit7/22/20101/25/2011
InactiveSchmitz, Mary Jo 689162Agent - Limited Line Credit7/22/20102/28/2019
InactiveSharif, Danielle Nakia 689183Agent - Limited Line Credit7/22/20108/11/2010
InactiveShoulders, Jannesse Mayes 382054Agent - Limited Line Credit1/13/20048/31/2004
InactiveSmith, Mark Fulton 585391Agent - Limited Line Credit7/22/201011/30/2014
InactiveSnider, Bradley Edward 524486Agent - Limited Line Credit2/20/20033/25/2011
InactiveStandafer, Brandon Scott 689163Agent - Limited Line Credit7/22/20101/25/2011
InactiveSummers, Nancy L 579245Agent - Limited Line Credit1/13/20041/25/2011
InactiveSzabanos, Theresa A 341999Agent - Credit Life & Health12/13/19998/7/2000
InactiveSzabanos, Theresa A 341999Agent - Limited Line Credit8/7/20009/4/2001
InactiveTerrell, Michael Doyle 542772Agent - Limited Line Credit2/20/20031/13/2004
InactiveTinsley, Cori J. 689164Agent - Limited Line Credit7/22/201011/30/2013
InactiveTracy, Jamie H 586778Agent - Limited Line Credit1/13/20051/25/2007
InactiveTrumbo, Tamra Joy 574931Agent - Limited Line Credit1/13/20041/13/2005
InactiveVowels, Dawn Marie 341982Agent - Credit Life & Health9/16/19998/7/2000
InactiveVowels, Dawn Marie 341982Agent - Limited Line Credit8/7/20001/13/2004
InactiveWade, Billie W 382489Agent - Credit Life & Health7/27/19938/7/2000
InactiveWade, Billie W 382489Agent - Limited Line Credit8/7/20007/22/2010
InactiveWaldridge, Benita Gail 689185Agent - Limited Line Credit7/22/201010/31/2013
InactiveWatts, William Randall 378433Agent - Credit Life & Health7/27/19938/7/2000
InactiveWatts, William Randall 378433Agent - Limited Line Credit8/7/20002/28/2011
InactiveWeakley, Ryburn A 349909Agent - Credit Life & Health7/27/19938/7/2000
InactiveWeakley, Ryburn A 349909Agent - Limited Line Credit8/7/20004/30/2006
InactiveWebb, Brian Keith 360781Agent - Limited Line Credit8/9/201011/30/2017
InactiveWeeks, Roy E 393889Agent - Health12/7/199812/15/1998
InactiveWeeks, Roy E 393889Agent - Life12/7/199812/15/1998
InactiveWhitehouse, Penny H 339085Agent - Credit Life & Health7/27/19936/12/1996
InactiveWillard, Jeanne R 567082Agent - Limited Line Credit7/22/20108/31/2017
InactiveYates, Cassandra Lynette 689165Agent - Limited Line Credit7/22/20107/31/2011

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