DEPARTMENT OF INSURANCE
Affiliations
NameTown Square BankDOIID399399NAIC NPN7221619
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife11/1/20123/31/2019 
InactiveResidentAgentLimited Line Credit6/21/20073/31/2019 
InactiveResidentAgentHealth11/1/20123/31/2019 
* 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
InactiveAmerican National Insurance Company301861Agent - Health12/28/20125/24/2019
InactiveAmerican National Insurance Company301861Agent - Life12/28/20125/24/2019
InactiveAmerican National Insurance Company301861Agent - Limited Line Credit3/5/20125/24/2019
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit6/21/20073/31/2019
InactiveLiberty Life Insurance Company301542Agent - Health3/5/19824/22/2002
InactiveLiberty Life Insurance Company301542Agent - Life3/5/19824/22/2002
DeniedLife Investors Insurance Company of America301793Agent - Health  
DeniedLife Investors Insurance Company of America301793Agent - Life  
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBays, Monica F 853662Agent - Limited Line Credit6/15/20155/24/2019
InactiveBelt, Lisa Gaye 657261Agent - Limited Line Credit8/30/20123/31/2019
InactiveCarter, Garen Douglas 332178Agent - Health3/5/198212/1/2000
InactiveCarter, Garen Douglas 332178Agent - Life3/5/198212/1/2000
InactiveCobb, Eldon Thomas 393964Agent - Life6/15/20153/31/2019
InactiveCornwell, Peggy 786594Agent - Limited Line Credit10/2/20125/24/2019
InactiveCurtis, Robert Stephen 340557Agent - Limited Line Credit6/21/200711/30/2009
InactiveDaniel, Joshua Kade 583947Agent - Health11/1/20121/1/2016
InactiveDaniel, Joshua Kade 583947Agent - Life11/1/20121/1/2016
InactiveDaniel, Joshua Kade 583947Agent - Limited Line Credit4/12/201212/31/2017
InactiveFazenbaker, Debra A 719534Agent - Limited Line Credit10/1/20123/1/2013
InactiveGammon, Brenda Lee 687757Agent - Limited Line Credit5/22/20123/1/2013
InactiveGillum, Donna M 386796Agent - Limited Line Credit5/22/20121/31/2013
InactiveGullett, Cindy Joann 764736Agent - Health1/21/20149/1/2015
InactiveGullett, Cindy Joann 764736Agent - Life1/21/20149/1/2015
InactiveJackson, Jessica Rena 786588Agent - Limited Line Credit10/1/20125/24/2019
InactiveJones, Rhonda C 372953Agent - Limited Line Credit7/22/20154/30/2017
InactiveKing, James Wyatt 657270Agent - Limited Line Credit6/21/20071/31/2012
InactiveLarge, Matthew Ryan 817126Agent - Limited Line Credit1/21/201411/29/2017
InactivePennington-Burchett, Kimberly Ann 717256Agent - Limited Line Credit10/3/20123/31/2014
InactiveSmith, Kimberlee Diann 341445Agent - Health6/15/20153/31/2019
InactiveSmith, Kimberlee Diann 341445Agent - Life6/15/20153/31/2019
InactiveSmith, Kimberlee Diann 341445Agent - Limited Line Credit6/15/20153/31/2019
InactiveSteger, Ryan Curtis 546105Agent - Limited Line Credit7/22/20158/31/2017

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