DEPARTMENT OF INSURANCE

Name	Powell Enterprises LLC	DOIID	690905	NAIC NPN	11867982

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	Health	3/22/2013	3/31/2020
Inactive	Non Resident	Agent	Life	3/22/2013	3/31/2020

*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.

Address Information

Type	Address
Business / Home Office	107 Southern Blvd Suite 103aSavannah, GA 31405

Internet Information

Type	Address
Business Email	brock_powell_inc@us.aflac.com

Phone Information

Type	Phone
Business / Home Office	(912) 800-3131