DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dortch, Maria Venice	DOIID	647820	NAIC NPN	9042112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/17/2021		2/28/2025
* 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
Active	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	3/15/2022
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	3/2/2007	4/28/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	6/3/2008	12/29/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tucker Funeral Home Inc.	399110	Agent - Life	3/5/2024