PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Anthony EDOIID510072NAIC NPN7213836
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit8/7/20008/31/2006 
InactiveResidentAgentCredit Life & Health7/19/20008/7/2000 
InactiveResidentAgentLife1/25/20028/31/2006 
* 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
InactiveAugustar Life Insurance Company301816Agent - Life1/25/20023/15/2006
InactiveEmpower Annuity Insurance Company of America300259Agent - Life2/20/20028/9/2006
InactiveEverlake Life Insurance Company300873Agent - Life9/12/20038/10/2006
InactiveGlenbrook Life and Annuity Company301384Agent - Life9/12/20031/1/2005
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/7/20038/31/2006
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life9/22/200312/16/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life12/16/20058/31/2006
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health7/19/20008/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit8/7/20008/31/2006
InactiveSymetra Life Insurance Company301691Agent - Life4/11/200310/24/2006
InactiveTransamerica Life Insurance Company300571Agent - Life2/6/20029/13/2006
InactiveWestern National Life Insurance Company300461Agent - Life2/8/20028/14/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveU S Bancorp Ins Services L L C400253Agent - Life3/10/20058/7/2006
InactiveUS Bancorp Investments, Inc.572662Agent - Life12/18/20038/7/2006

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