DEPARTMENT OF INSURANCE

Name	Self, Brian Curtis	DOIID	665825	NAIC NPN	1679981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/9/2007	11/30/2025
Active	Non Resident	Agent	Property	10/9/2007	11/30/2025
Active	Non Resident	Agent	Casualty	10/9/2007	11/30/2025
Active	Non Resident	Agent	Life	10/9/2007	11/30/2025

*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	09/15/2025	11/30/2025

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
Business / Home Office	Self Insurance Agency 2201 E Malone AveSikeston, MO 63801
Residence	Not Public Information

Internet Information

Type	Address
Business Email	BSelf@greatharborins.com

Phone Information

Type	Phone
Business / Home Office	(573) 471-3347