DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mohr, John W	DOIID	330619	NAIC NPN	815522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/1/1973	6/30/2004
Inactive	Non Resident	Agent	Life	8/1/1973	6/30/2004
* 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	Combined Insurance Company of America	301472	Agent - Health	10/24/1980	2/21/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	10/24/1980	2/21/2001
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/1/1973	1/27/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/1/1973	1/27/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Diversified Brokerage Specialists Inc.	399027	Agent - Life	11/17/1982	1/27/2003
Inactive	Diversified Brokerage Specialists Inc.	399027	Agent - Health	11/17/1982	1/27/2003