DEPARTMENT OF INSURANCE
Affiliations
NameSouthern Brokers Inc.DOIID399821NAIC NPN7221962
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth9/14/19895/31/2003 
InactiveResidentAgentLife9/14/19895/31/2003 
* 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
InactiveAF&L Insurance Company301582Agent - Health6/20/199712/31/1998
InactiveCentennial Life Insurance Company (The)301561Agent - Health3/17/19936/19/1998
InactiveCentennial Life Insurance Company (The)301561Agent - Life3/17/19936/19/1998
InactiveConseco Health Insurance Company301725Agent - Health9/6/20005/31/2003
InactiveConseco Health Insurance Company301725Agent - Life9/6/20005/31/2003
InactiveFirst National Life Insurance Company300833Agent - Health3/23/19942/14/1997
InactiveFirst National Life Insurance Company300833Agent - Life3/23/19942/14/1997
InactiveGreat Fidelity Life Insurance Company301208Agent - Health4/9/19913/31/1997
InactiveGreat Fidelity Life Insurance Company301208Agent - Life4/9/19913/31/1997
InactiveGuarantee Trust Life Insurance Company301043Agent - Health10/30/199112/29/1998
InactiveGuarantee Trust Life Insurance Company301043Agent - Life10/30/199112/29/1998
InactiveInvestors Heritage Life Insurance Company300363Agent - Health9/14/19895/31/2003
InactiveInvestors Heritage Life Insurance Company300363Agent - Life9/14/19895/31/2003
InactivePenn Treaty Network America Insurance Company301297Agent - Health11/21/19903/31/1997
InactivePenn Treaty Network America Insurance Company301297Agent - Life11/21/19903/31/1997
InactivePioneer Life Insurance Company300110Agent - Health11/30/19945/31/2003
InactivePioneer Life Insurance Company300110Agent - Life11/30/19945/31/2003
InactiveProvident Indemnity Life Insurance Company301218Agent - Health4/23/19933/31/1997
InactiveProvident Indemnity Life Insurance Company301218Agent - Life4/23/19933/31/1997
InactiveReassure America Life Insurance Company301902Agent - Health2/7/19951/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life2/7/19951/2/2003
InactiveSettlers Life Insurance Company300189Agent - Health6/23/19933/31/1997
InactiveSettlers Life Insurance Company300189Agent - Life6/23/19933/31/1997
InactiveUSG Annuity & Life Company300457Agent - Life5/20/19931/4/1996
InactiveUnion Bankers Insurance Company301769Agent - Health12/30/19923/31/1997
InactiveUnion Bankers Insurance Company301769Agent - Life12/30/19923/31/1997
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdkins, Terry Wayne 332170Agent - Health2/14/19945/31/2003
InactiveAdkins, Terry Wayne 332170Agent - Life2/14/19945/31/2003
InactiveAshley, Clarence Lee 381987Agent - Health9/3/19935/31/2003
InactiveAshley, Clarence Lee 381987Agent - Life9/3/19935/31/2003
InactiveAyres, Winona Gail 368683Agent - Health2/7/19925/31/2003
InactiveAyres, Winona Gail 368683Agent - Life2/7/19925/31/2003
InactiveBall, Gary W 348963Agent - Health8/15/19895/31/2003
InactiveBarton, Gwyn G 317991Agent - Health7/6/19907/1/1996
InactiveBarton, Gwyn G 317991Agent - Life7/6/19907/1/1996
InactiveBarton, Jack V 319023Agent - Health11/18/19921/16/2002
InactiveBarton, Jack V 319023Agent - Life11/18/19927/1/2002
InactiveBlackburn, Elmer Timothy 375670Agent - Health8/2/19935/31/2003
InactiveBlackburn, Elmer Timothy 375670Agent - Life8/2/19935/31/2003
InactiveCrowe, Charles Marvin 373476Agent - Health8/18/19895/31/2003
InactiveCrowe, Charles Marvin 373476Agent - Life8/18/19895/31/2003
InactiveDavis, Diane M 320444Agent - Health1/22/19905/31/2003
InactiveDavis, Diane M 320444Agent - Life1/22/19905/31/2003
InactiveDavis, William Curtis 364748Agent - Health11/9/19935/31/2003
InactiveDavis, William Curtis 364748Agent - Life11/9/19935/31/2003
InactiveDevine, Robert T 345025Agent - Health3/31/199512/1/2000
InactiveDevine, Robert T 345025Agent - Life3/31/199512/1/2000
InactiveFeezor, Rex Alan 384966Agent - Health6/16/19895/31/2003
InactiveFeezor, Rex Alan 384966Agent - Life6/16/19895/31/2003
InactiveGowens, Martha Jean 342654Agent - Health8/12/19917/1/2002
InactiveGowens, Martha Jean 342654Agent - Life8/12/19917/1/2002
InactiveGray, Jefferson Ladon 344982Agent - Health6/30/198910/10/1996
InactiveGray, Jefferson Ladon 344982Agent - Life6/30/198910/10/1996
InactiveJackson, Eddie Lewis 312314Agent - Health2/13/19905/31/2003
InactiveJackson, Eddie Lewis 312314Agent - Life2/13/19905/31/2003
InactiveJames, Harry Scott 328042Agent - Health6/5/198912/1/2000
InactiveJames, Harry Scott 328042Agent - Life6/5/198912/1/2000
InactiveJohnson, Lynn Robert 356300Agent - Life11/27/19895/31/2003
InactiveLaake, Linda 364646Agent - Health8/23/198912/17/2002
InactiveLaake, Linda 364646Agent - Life8/23/19895/31/2003
InactiveLemily, Bernard Reynolds 361182Agent - Health10/19/19895/31/2003
InactiveLemily, Bernard Reynolds 361182Agent - Life10/19/19895/31/2003
InactiveLindsey, Gene Clayton 307059Agent - Health5/6/19917/30/1999
InactiveLindsey, Gene Clayton 307059Agent - Life5/6/19917/30/1999
InactiveMcRoberts, Stephen Dale 385907Agent - Health6/12/19893/31/1997
InactiveMcRoberts, Stephen Dale 385907Agent - Life6/12/19893/31/1997
InactiveMyers, Merrill James 381979Agent - Health4/1/19915/31/2003
InactiveMyers, Merrill James 381979Agent - Life4/1/19915/31/2003
InactiveNunn, Joe Milburn 390947Agent - Health2/20/199012/30/1996
InactiveNunn, Joe Milburn 390947Agent - Life2/20/199012/30/1996
InactivePage, George E 391709Agent - Health9/22/19895/31/2003
InactivePage, George E 391709Agent - Life9/22/19895/31/2003
InactiveParish, James Wesley 304450Agent - Health4/3/19915/31/2003
InactiveParish, James Wesley 304450Agent - Life4/3/19915/31/2003
InactivePinkerton, Edwina C 368024Agent - Health3/5/19969/18/1997
InactivePinkerton, Edwina C 368024Agent - Life3/5/19969/18/1997
InactivePresson, David S 357243Agent - Health4/14/198912/1/2000
InactivePresson, David S 357243Agent - Life4/14/198912/1/2000
InactiveQuinnelly, Thomas Edgar 379359Agent - Health12/21/19894/18/1997
InactiveRiley, J C 378340Agent - Health2/6/199012/1/2000
InactiveRiley, J C 378340Agent - Life2/6/199012/1/2000
DeniedRoberts, Kirby Clarence 359316Agent - Health  
DeniedRoberts, Kirby Clarence 359316Agent - Life  
InactiveRussell, Valerie Morrow 345085Agent - Health3/17/19925/31/2003
InactiveRussell, Valerie Morrow 345085Agent - Life3/17/19925/31/2003
InactiveSadler, James Garner 347658Agent - Health5/4/19895/31/2003
InactiveSadler, James Garner 347658Agent - Life5/4/19895/31/2003
InactiveSewell, David Carlisle 333632Agent - Health10/4/19895/31/2003
InactiveSewell, David Carlisle 333632Agent - Life10/4/19895/31/2003
InactiveSingleton, Cindy Jo 384720Agent - Health3/6/19957/1/1996
InactiveSingleton, Michael E 309539Agent - Health1/12/19895/31/2003
InactiveSingleton, Michael E 309539Agent - Life1/12/19895/31/2003
InactiveSmith, Richard Henry 312519Agent - Health5/4/19895/31/2003
InactiveSmith, Richard Henry 312519Agent - Life5/4/19895/31/2003
InactiveStevenson, James Thomas 344587Agent - Health3/13/19905/31/2003
InactiveStevenson, James Thomas 344587Agent - Life3/13/19905/31/2003
InactiveThomas, Michael Wayne 345810Agent - Health6/14/19905/11/1998
InactiveThomas, Michael Wayne 345810Agent - Life6/14/19905/11/1998
InactiveToll, Robert Lee 305311Agent - Health1/17/19907/25/1996
InactiveToll, Robert Lee 305311Agent - Life1/17/19907/25/1996
InactiveToll, Roy Lee 318027Agent - Health9/8/19945/31/2003
InactiveToll, Roy Lee 318027Agent - Life9/8/19945/31/2003
InactiveTucker, Brenda Lue 317573Agent - Health3/18/19917/1/2002
InactiveTucker, Brenda Lue 317573Agent - Life3/18/19917/1/2002
InactiveWeikel, Gerald A 383799Agent - Health8/15/19895/31/2003
InactiveWeikel, Gerald A 383799Agent - Life8/15/19895/31/2003
InactiveWithrow, Bobby Joe 302263Agent - Health2/7/19925/31/2003
InactiveWithrow, Bobby Joe 302263Agent - Life2/7/19925/31/2003
InactiveWright, David Wayne 359140Agent - Health2/20/19905/31/2003
InactiveWright, David Wayne 359140Agent - Life2/20/19905/31/2003

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