DEPARTMENT OF INSURANCE

Affiliations

Name	Soutien, Mackerlange	DOIID	1136426	NAIC NPN	17636989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/26/2021	5/31/2023
Inactive	Non Resident	Agent	Health	5/26/2021	5/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Qw Insurance Solutions, LLC	1047634	Agent - Health