DEPARTMENT OF INSURANCE

Name	Southern III, Charles Baxter	DOIID	393349	NAIC NPN	951164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		2/28/2025
Active	Non Resident	Agent	Casualty	8/15/2000		2/28/2025
Inactive	Non Resident	Agent	General Lines	3/5/1999	8/15/2000
Active	Non Resident	Property & Casualty Consultant	Not Applicable	12/27/2005		2/28/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	7711 Bonhomme Ave Ste 900 Saint Louis, MO 631051954
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(314) 854-5203