DEPARTMENT OF INSURANCE
Affiliations
NameCitizens BankDOIID398747NAIC NPN7221122
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLimited Line Credit4/2/2024 3/31/2026
DeniedResidentAgentHealth   
DeniedResidentAgentLife   
InactiveResidentAgentCredit Life & Health3/31/19828/7/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFranklin Life Insurance Company (The)300779Agent - Credit Life & Health11/4/19943/20/1996
InactiveIllinois Mutual Life Insurance Company301479Agent - Life4/3/200711/4/2011
InactiveIllinois Mutual Life Insurance Company301479Agent - Limited Line Credit4/2/200711/9/2011
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health3/31/19826/20/1996
InactiveInvestors Heritage Life Insurance Company300363Agent - Health9/22/20062/13/2013
InactiveInvestors Heritage Life Insurance Company300363Agent - Life9/22/20062/13/2013
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit9/8/20003/18/2020
ActiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit4/8/2024 
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health12/8/19998/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit8/7/20009/8/2000
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health1/23/199612/8/1999
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAdams, Jonathan Lee 603398Agent - Limited Line Credit  
InactiveAsher, Charles Anthony 376947Agent - Limited Line Credit1/5/200410/11/2010
InactiveBray, Jenny Lee 307901Agent - Limited Line Credit2/8/20057/31/2014
InactiveCash, Violet A 334416Agent - Credit Life & Health10/5/19944/29/1996
InactiveCash, Violet A 334416Agent - Limited Line Credit1/5/200410/31/2006
InactiveCraig, Corey Carson 387121Agent - Limited Line Credit2/8/20051/31/2015
DeniedDyehouse, Mark Yadon 1066259Agent - Limited Line Credit  
InactiveGraham, Connie Lynn 344592Agent - Limited Line Credit1/5/20042/8/2005
InactiveHelton, Tarina Joy 332169Agent - Limited Line Credit2/13/20133/2/2017
InactiveHutchinson, Brian Edward 346637Agent - Limited Line Credit12/8/20211/31/2022
ActiveLynch, Donna Gail 525328Agent - Limited Line Credit4/2/2024 
InactiveNeeley, Jeremy Paul 610417Agent - Limited Line Credit12/8/20213/31/2022
InactiveNorris, Kendall Lewis 320277Agent - Limited Line Credit1/5/20042/8/2005
InactiveParkey, Glen Douglas 341747Agent - Limited Line Credit2/13/20138/31/2014
InactivePhelps, Delores Ann 303567Agent - Credit Life & Health6/20/19969/9/1998
InactivePhelps, Delores Ann 303567Agent - Limited Line Credit1/5/200411/30/2009
InactiveProctor, Bobby Alfred 358574Agent - Credit Life & Health6/20/19969/9/1998
InactiveReynolds, Jeremy A 583691Agent - Limited Line Credit2/8/20053/31/2014
InactiveRidner, Trevor Dewayne 992005Agent - Limited Line Credit2/1/202310/31/2023
InactiveRose, Cheryl Jean 594014Agent - Limited Line Credit2/8/200511/28/2016
InactiveSargent, Dennis Wayne 325915Agent - Limited Line Credit2/13/20139/30/2021
InactiveShackelford, Garrett 527099Agent - Limited Line Credit1/5/20041/31/2012
DeniedShackelford, Kenneth Garrett 764626Agent - Limited Line Credit  
InactiveSmith, Edward Keith 374002Agent - Credit Life & Health7/8/19969/9/1998
InactiveSmith, Edward Keith 374002Agent - Limited Line Credit1/5/20042/8/2005
InactiveThacker, Helen Marie 381554Agent - Credit Life & Health5/8/19988/7/2000
InactiveThacker, Helen Marie 381554Agent - Limited Line Credit8/7/20002/8/2005
InactiveTodd, Barry L 363867Agent - Health9/22/20062/13/2013
InactiveTodd, Barry L 363867Agent - Life9/22/20062/13/2013

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