RICHARD GERALD CARROLL II

Agent ID:	10575377
National Producer ID:	19510825
Mailing Address:	138 TIMBER CREEK DR
	CORDOVA, TN 38018-4234
Resident State:	MS
Phone:	901-268-3576

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	6/5/2020	9/30/2025
Ltd Lines Credit Ins Prod	Active	6/8/2020	9/30/2025

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
Accident & Health or Sickness	11/22/2021
Life	6/5/2020
Var Life and Var Ann Products	12/1/2021

Agent Appointments

5 Records Found

License Number	Company Name	Issue Date
8500003	Athene Annuity and Life Company	8/13/2021
7700124	Bankers Life and Casualty Company	4/27/2022
7700062	Colonial Penn Life Insurance Company	4/27/2022
7700362	Reliance Standard Life Insurance Company	8/21/2021
7700403	Security Benefit Life Insurance Company	8/5/2021