DEPARTMENT OF INSURANCE

Name	Tri Star Of Sikeston Inc DBA : Self Ins Agency	DOIID	688323	NAIC NPN	9044239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Property	10/6/2008	3/31/2020
Inactive	Non Resident	Agent	Casualty	10/6/2008	3/31/2020
Inactive	Non Resident	Agent	Life	4/9/2013	3/31/2020
Inactive	Non Resident	Agent	Health	4/9/2013	3/31/2020
Denied	Non Resident	Property & Casualty Consultant	Not Applicable

*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	2201 East Malone Po Box 589Sikeston, MO 63801

Internet Information

Type	Address
Business Email	teresagriggs@selfins.com

Phone Information

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