DEPARTMENT OF INSURANCE

Name	Southwood, Mas Lloyd	DOIID	563077	NAIC NPN	7551155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	8/29/2007	11/21/2008
Active	Resident	Agent	Health	10/24/2018		6/30/2025
Active	Resident	Agent	Life	5/19/2015		6/30/2025
Denied	Resident	Agent	Limited Line Credit

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

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
Residence	Not Public Information
Business / Home Office	8420 Grand Trevi Drive Louisville, KY 40228

Internet Information

Type	Address
Business Email	MASSOUTHWOOD@YAHOO.COM

Phone Information

Type	Phone
Business / Home Office	(502) 905-5490