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DEPARTMENT OF INSURANCE
Affiliations
Name
First Southern National Bank of Wayne County
DOIID
400383
NAIC NPN
7222367
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Credit Life & Health
3/31/1992
8/7/2000
Inactive
Resident
Agent
Mortgage Redemption
3/31/1992
8/7/2000
Inactive
Resident
Agent
Limited Line Credit
8/7/2000
5/6/2002
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Heritage Life Insurance Company
300272
Agent - Credit Life & Health
8/11/1995
1/9/1997
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Credit Life & Health
3/31/1992
8/7/2000
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Limited Line Credit
8/7/2000
5/6/2002
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Mortgage Redemption
3/31/1992
8/7/2000
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Abbott, Nancy Ruth
321973
Agent - Credit Life & Health
8/11/1995
3/7/1997
Inactive
Dick, John Gary
389866
Agent - Credit Life & Health
8/11/1995
8/7/2000
Inactive
Dick, John Gary
389866
Agent - Limited Line Credit
8/7/2000
5/6/2002
Inactive
Ditto, Douglas Paul
329901
Agent - Credit Life & Health
10/20/1987
8/7/2000
Inactive
Ditto, Douglas Paul
329901
Agent - Limited Line Credit
8/7/2000
5/6/2002
Inactive
Roberts, Georgetta R
342312
Agent - Credit Life & Health
8/11/1995
8/7/2000
Inactive
Roberts, Georgetta R
342312
Agent - Limited Line Credit
8/7/2000
5/6/2002
Inactive
Roberts, William Thomas
309683
Agent - Credit Life & Health
5/9/1990
8/7/2000
Inactive
Roberts, William Thomas
309683
Agent - Limited Line Credit
8/7/2000
5/6/2002
Inactive
Rousey, James Patrick
371262
Agent - Credit Life & Health
6/21/1990
3/7/1997
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