PURNELL ANTONIO BLACKMON

Agent ID:	10118952
National Producer ID:	11203920
Mailing Address:	6341 HIGHWAY 51 N STE 6
	HORN LAKE, MS 38637-2475
Resident State:	MS
Phone:	901-326-6604

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	10/27/2009	1/31/2026
Surplus Lines Ins	Active	1/9/2012	1/31/2026

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	7/1/2008
Casualty	10/27/2009
Life	7/1/2008
Property	10/27/2009
Var Life and Var Ann Products	12/22/2010

Agent Appointments

9 Records Found

License Number	Company Name	Issue Date
7700073	American National Insurance Company	3/2/2012
1400002	American Strategic Insurance Corp.	5/20/2020
0400029	Coast National Insurance Company	11/29/2011
7700732	Foremost Insurance Company Grand Rapids, Michigan	11/29/2011
8100177	Progressive Gulf Insurance Company	3/9/2012
7700640	Shelter General Insurance Company	10/10/2011
7700290	Shelter Life Insurance Company	10/10/2011
7700778	Shelter Mutual Insurance Company	10/10/2011
9000044	Viking Insurance Company of Wisconsin	2/29/2012