DEPARTMENT OF INSURANCE
Affiliations
NameCitizen's Commerce National BankDOIID399274NAIC NPN7221546
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCredit Life & Health12/11/19968/7/2000 
InactiveResidentAgentLimited Line Credit6/24/20153/31/2018 
InactiveResidentAgentMortgage Redemption12/11/19968/7/2000 
InactiveResidentAgentVariable Life and Variable Annuities7/21/20086/28/2010 
InactiveResidentAgentLife8/22/20026/15/2011 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCICA Life Insurance Company of America600487Agent - Life1/1/20053/31/2007
InactiveCICA Life Insurance Company of America600487Agent - Limited Line Credit1/1/20053/31/2007
InactiveFirst Alliance Insurance Company301000Agent - Life8/22/20021/1/2005
InactiveFirst Alliance Insurance Company301000Agent - Limited Line Credit2/27/20021/1/2005
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health12/11/19968/7/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/11/20151/4/2018
InactiveInvestors Heritage Life Insurance Company300363Agent - Mortgage Redemption12/11/19968/7/2000
InactiveJohn Hancock Life Insurance Company300821Agent - Life11/28/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/28/20086/15/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities11/28/20086/28/2010
InactiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit9/15/20083/31/2014
InactiveProtective Life Insurance Company300638Agent - Life4/12/200412/26/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/3/20086/15/2011
InactiveTransamerica Premier Life Insurance Company300558Agent - Limited Line Credit10/3/20083/31/2014
InactiveVantis Life Insurance Company572176Agent - Life5/21/20066/15/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrinson, Stephen M 336980Agent - Limited Line Credit6/24/20153/31/2018
InactiveBurton, Chad Edward 305806Agent - Life8/22/20024/5/2004
InactiveCaldwell, Jody Todd 514699Agent - Life4/5/20046/10/2011
InactiveCaldwell, Jody Todd 514699Agent - Limited Line Credit6/10/20116/10/2011
InactiveCorley, Kay L 580770Agent - Life4/2/200810/1/2009
InactiveDabney, Brian Wayne 600802Agent - Variable Life and Variable Annuities7/22/20086/28/2010
InactiveDuckworth, Michael Glenn 666001Agent - Limited Line Credit8/28/20089/30/2010
InactiveFlynn, Michael L 304092Agent - Credit Life & Health12/11/19968/7/2000
InactiveFlynn, Michael L 304092Agent - Limited Line Credit8/7/20003/31/2014
InactiveFlynn, Michael L 304092Agent - Mortgage Redemption12/11/19968/7/2000
InactiveFortney, Heather Humston 666002Agent - Limited Line Credit8/28/20085/31/2012
InactiveKincaid, Jeffrey Damon 687311Agent - Limited Line Credit9/25/20086/15/2012
InactiveMcDonald, Kenneth Berry 546011Agent - Limited Line Credit4/5/200411/30/2007
InactiveSallee, Blake Martin 332095Agent - Variable Life and Variable Annuities7/22/20083/1/2009
InactiveSmither, Maurice Ray 352060Agent - Life4/5/20041/19/2007
InactiveSoper, John Estill 390468Agent - Credit Life & Health12/11/19968/7/2000
InactiveSoper, John Estill 390468Agent - Limited Line Credit8/7/20006/28/2010
InactiveSoper, John Estill 390468Agent - Mortgage Redemption12/11/19968/7/2000
InactiveWilder, Patty A 376525Agent - Limited Line Credit4/5/20044/30/2013
InactiveWilliams, Rodney Stephen 356057Agent - Limited Line Credit9/25/20084/30/2012
InactiveWilson, Denny E 643986Agent - Limited Line Credit1/19/20073/31/2014
InactiveWolf, Patty Lewis 535404Agent - Limited Line Credit8/28/20081/31/2012
InactiveWoodrum, Melissa Deanne 687361Agent - Limited Line Credit9/25/200812/31/2010

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