PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCitizens State BankDOIID399070NAIC NPN7221365
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit8/7/20005/5/2006 
InactiveResidentAgentCredit Life & Health12/5/19918/7/2000 
* 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
InactiveFederal Home Life Insurance Company301302Agent - Credit Life & Health12/5/19918/7/2000
InactiveFederal Home Life Insurance Company301302Agent - Limited Line Credit8/7/200010/17/2005
InactiveHeritage Life Insurance Company300081Agent - Credit Life & Health2/18/19978/7/2000
InactiveHeritage Life Insurance Company300081Agent - Limited Line Credit8/7/20002/14/2001
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health8/24/19988/7/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/20005/5/2006
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFaulkner, Robert David 512778Agent - Limited Line Credit1/31/20055/5/2006
InactiveHowell, Shirley Ann 328628Agent - Credit Life & Health11/11/199610/30/1998
InactiveHughes, Stephen Mark 346720Agent - Credit Life & Health10/30/19988/7/2000
InactiveHughes, Stephen Mark 346720Agent - Limited Line Credit8/7/20005/5/2006
InactiveKelley, Kolleen Kay 350716Agent - Credit Life & Health11/11/19968/7/2000
InactiveKelley, Kolleen Kay 350716Agent - Limited Line Credit1/31/20055/5/2006
InactiveLogsdon, Tammy R 308842Agent - Credit Life & Health11/11/199610/30/1998
InactivePaschall, Tommy Dale 340599Agent - Credit Life & Health10/28/199110/30/1998
InactiveStory, Charles Steven 302268Agent - Credit Life & Health10/30/19988/7/2000
InactiveStory, Charles Steven 302268Agent - Limited Line Credit8/7/20005/5/2006
InactiveVaught, Dennis Eugene 320622Agent - Limited Line Credit2/9/20041/31/2005

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