DEPARTMENT OF INSURANCE

Name	Blackburn, Terresia M	DOIID	317227	NAIC NPN	7164662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	8/22/2005	5/31/2008
Inactive	Resident	Agent	General Lines	11/23/1998	8/15/2000
Inactive	Resident	Agent	Life	6/21/1994	7/1/2002
Inactive	Resident	Agent	Casualty	8/15/2000	3/15/2002
Inactive	Resident	Agent	Health	8/7/2001	10/1/2001
Inactive	Resident	Agent	Property	8/15/2000	3/15/2002

*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	First National Bank 109 Prater PlacePikeville, KY 41501
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 432-5340