DEPARTMENT OF INSURANCE

Affiliations

Name	Todd County Funeral Home	DOIID	714859	NAIC NPN	15031598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/5/2012	3/31/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kirby, Justin Carlisle	780635	Agent - Life	5/25/2012	3/31/2014
Denied	Southerland, James Mitchell	317932	Agent - Life