BARRY WAYNE BRUCKNER

Agent ID:	10090299
National Producer ID:	9714627
Mailing Address:	199 MARS HILL RD
	PETAL, MS 39465
Resident State:	MS
Phone:	601-408-5584

Agent License

Type	Status	Issue Date	Expiration Date
Independent Adjuster	Active	1/19/2023	5/31/2024
Insurance Producer	Active	2/8/2024	5/31/2025

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	2/8/2024
Life	2/8/2024
P & C with Workers' Comp	1/19/2023

Agent Appointments

3 Records Found

License Number	Company Name	Issue Date
7800035	Philadelphia American Life Insurance Company	2/13/2024
7700410	Physicians Life Insurance Company	3/8/2024
7700413	Physicians Mutual Insurance Company	3/11/2024