DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gongre, Connie Lynn	DOIID	322112	NAIC NPN	2767513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/19/2002	6/30/2003
Inactive	Non Resident	Agent	Life	3/15/2002	6/30/2003
* 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	Stonebridge Life Insurance Company	301614	Agent - Health	4/19/2002	3/13/2003
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/15/2002	3/13/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	4/19/2002	2/14/2003
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	4/19/2002	2/14/2003