DERRICK TYRONE BARNES

Agent ID:	10545738
National Producer ID:	18765953
Mailing Address:	P O BOX 59333
	JACKSON, MS 39284
Resident State:	MS
Phone:	601-454-1328

Agent License

Type	Status	Issue Date	Expiration Date
Ltd Lines Insurance Prod	Active	9/17/2019	6/30/2025

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
Industrial LAH	9/17/2019

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
0300004	Security National Life Insurance Company	12/18/2019
9800042	Superior Funeral and Life Insurance Company	6/11/2020