DEPARTMENT OF INSURANCE

Affiliations

Name	PCR Tarps DBA : Green Hills Funeral Home	DOIID	816698	NAIC NPN	17028834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
* 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	Columbian Life Insurance Company	300810	Agent - Life	10/3/2013	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cox, Lige	387608	Agent - Life	8/6/2013	3/31/2017