DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Queen, Sallie Geraldine	DOIID	310929	NAIC NPN	7160593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/8/1980	10/31/2008
Inactive	Resident	Agent	Life	12/8/1980	10/31/2008
* 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	Citizens Security Life Insurance Company	301257	Agent - Health	12/8/1980	10/31/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	12/8/1980	10/31/2008
Inactive	United American Insurance Company	300910	Agent - Health	7/6/1982	10/31/2008
Inactive	United American Insurance Company	300910	Agent - Life	7/6/1982	10/31/2008
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/6/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/6/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Bradshaw Co	399179	Agent - Life	11/12/1993	12/1/2000
Inactive	Frank Bradshaw Co	399179	Agent - Health	11/12/1993	12/1/2000