DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Duckworth, Michael Glenn	DOIID	666001	NAIC NPN	9743664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	5/18/2015	9/30/2016
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/18/2015	11/10/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/15/2008	9/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizen's Commerce National Bank	399274	Agent - Limited Line Credit	8/28/2008	9/30/2010