DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Patrick	DOIID	1008624	NAIC NPN	18793590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/6/2018	11/30/2020
Inactive	Non Resident	Agent	Health	9/6/2018	11/30/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	12/7/2019	3/20/2020
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	9/11/2018	3/20/2020
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	9/11/2018	3/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Merrill Lynch Life Agency Inc.	400527	Agent - Health
Denied	Merrill Lynch Life Agency Inc.	400527	Agent - Life