DEPARTMENT OF INSURANCE
Affiliations
NameMDS, Inc
DBA : Mike Smith Kia-Mitsubishi-Suzuki		DOIID401127NAIC NPN7222944
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCredit Life & Health10/5/19928/7/2000 
InactiveResidentAgentLimited Line Credit8/7/20009/1/2013 
* 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
InactiveCICA Life Insurance Company of America600487Agent - Limited Line Credit1/1/20053/31/2007
InactiveFederal Home Life Insurance Company301302Agent - Credit Life & Health10/5/19925/22/1996
InactiveFirst Alliance Insurance Company301000Agent - Limited Line Credit1/21/20031/1/2005
InactiveHeritage Life Insurance Company300081Agent - Credit Life & Health5/22/19962/3/1997
InactiveKentucky Home Life Insurance Company300477Agent - Credit Life & Health5/21/19998/7/2000
InactiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit8/7/20009/1/2013
InactiveNational Guardian Life Insurance Company300596Agent - Credit Life & Health2/19/19975/21/1999
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBlake, Sharolette Jean 386327Agent - Credit Life & Health5/21/19998/7/2000
InactiveBlake, Sharolette Jean 386327Agent - Limited Line Credit8/7/20009/30/2003
InactiveBrasher, Lisa J 376015Agent - Credit Life & Health10/5/19925/22/1996
InactiveBurkeen, Candace 543903Agent - Limited Line Credit1/26/200511/27/2007
InactiveEtheridge, Jayson D 385100Agent - Credit Life & Health2/19/19973/15/1999
InactiveJoseph, Robert E 652104Agent - Limited Line Credit3/6/20136/30/2013
InactiveLang, Kenneth August 635153Agent - Limited Line Credit1/26/20077/31/2009
InactivePoat, Gregory Bruce 563219Agent - Limited Line Credit1/26/20057/31/2008
InactiveRay, Douglas Neal 656427Agent - Limited Line Credit10/27/200810/26/2009
InactiveRobbins, Terry M 349447Agent - Limited Line Credit10/30/200912/31/2012
InactiveWatson, Melinda G 360405Agent - Credit Life & Health5/21/19998/7/2000
InactiveWatson, Melinda G 360405Agent - Limited Line Credit8/7/20007/8/2008

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