DEPARTMENT OF INSURANCE

Name	Keiser III, William Bransford	DOIID	564394	NAIC NPN	5954697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Limited Line Credit	3/25/2003	11/30/2023
Inactive	Non Resident	Agent	Crop	5/3/2004	11/30/2023

*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	White & Associates Insurance Agency, Inc. 214 N Main PO Box 1129Dyersburg, TN 38024
Mailing	311 Headden Drive Ridgely, TN 38080
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(731) 285-0565