DEPARTMENT OF INSURANCE

Affiliations

Name	Lawrence, Gregory Richard	DOIID	303507	NAIC NPN	1889474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/15/2009	7/1/2010
Inactive	Resident	Agent	Life	1/15/2009	7/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	1/20/2005	7/5/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/20/2005	7/5/2006
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/29/2009	7/1/2010
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/30/2006	9/22/2006
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/30/2006	9/22/2006
Inactive	Continental General Insurance Company	300691	Agent - Health	4/30/1997	6/9/2000
Inactive	Continental General Insurance Company	300691	Agent - Life	4/30/1997	6/9/2000
Inactive	Everlake Life Insurance Company	300873	Agent - Health	1/1/2005	6/30/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/21/2001	1/27/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/10/2009	7/1/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/5/2009	7/1/2010
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Health	6/21/2001	1/1/2005
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	6/21/2001	1/1/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/19/1998	12/29/1998
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/21/2001	8/7/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/21/2001	8/7/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/19/2001	3/3/2005
Inactive	Sterling Life Insurance Company	301947	Agent - Health	3/23/2006	9/8/2006
Inactive	Sterling Life Insurance Company	301947	Agent - Life	3/23/2006	9/8/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/17/2001	2/28/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	1/24/2005	6/20/2005
Inactive	Union Security Insurance Company	301844	Agent - Life	1/24/2005	6/20/2005
Inactive	United American Insurance Company	300910	Agent - Health	1/18/2007	8/15/2007
Inactive	United American Insurance Company	300910	Agent - Life	1/18/2007	8/15/2007
Inactive	United Investors Life Insurance Company	301873	Agent - Life	4/18/2007	8/15/2007
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	3/15/1995	5/12/2000
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	3/15/1995	5/12/2000
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	3/15/1995	5/12/2000
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/15/1995	5/12/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PNC Insurance Services LLC	400874	Agent - Life	5/24/2004	1/19/2005
Inactive	PNC Insurance Services LLC	400874	Agent - Health	5/24/2004	1/19/2005