DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Clarence Edward	DOIID	304193	NAIC NPN	328911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/28/1972	7/1/2002
Inactive	Resident	Agent	Life	1/28/1972	7/1/2002
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/3/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/3/1995	3/31/1997
Inactive	Manufacturers Life Insurance Company	300855	Agent - Health	3/5/1990	12/31/1996
Inactive	Manufacturers Life Insurance Company	300855	Agent - Life	3/5/1990	12/31/1996
Inactive	Midland National Life Insurance Company	300923	Agent - Health	11/17/1992	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	11/17/1992	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/28/1972	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/28/1972	7/1/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/31/1998	7/1/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/31/1998	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Preferred Product Network, Inc.	399668	Agent - Life	2/25/1986	7/1/2002
Inactive	Preferred Product Network, Inc.	399668	Agent - Health	2/25/1986	7/1/2002