DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Tara Lynn	DOIID	512944	NAIC NPN	7214385

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	6/10/2003	6/30/2008
Inactive	Resident	Agent	Limited Line Credit	12/28/2009	6/30/2012
* 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	Fidelity Security Life Insurance Company	300466	Agent - Life	9/30/2003	3/10/2005
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/1/2005	6/30/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	12/28/2009	2/10/2012
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	1/9/2010	6/30/2012
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Life	11/3/2003	7/26/2005
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	11/3/2003	7/26/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cumberland Financial Services Inc.	400851	Agent - Limited Line Credit	1/8/2010	6/30/2012