LENELL CORTEZ BLACK

Agent ID:	312678
National Producer ID:	7886213
Mailing Address:	6310 HWY 15
	BLUE MOUNTAIN, MS 38610
Resident State:	MS
Phone:	662-687-0000

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	1/5/2010	12/31/2025

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	1/5/2010
Casualty	3/1/2010
Life	1/5/2010
Property	3/1/2010

Agent Appointments

4 Records Found

License Number	Company Name	Issue Date
9500046	Funeral Directors Life Insurance Company	10/11/2021
0100025	Great Western Insurance Company	4/26/2024
8500034	Lincoln Heritage Life Insurance Company	4/20/2010
9800026	National Guardian Life Insurance Company	9/11/2017