DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilburn, Mary Ann	DOIID	326742	NAIC NPN	7173259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	4/7/1995	12/20/1999
* 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	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/2/1998	12/20/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/7/1995	9/28/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First National Bank	399396	Agent - Credit Life & Health	4/7/1995	12/20/1999