DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, James P	DOIID	332660	NAIC NPN	7180633

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/4/1998	12/1/2000
Inactive	Resident	Agent	Life	11/4/1998	12/1/2000
Inactive	Resident	Agent	Credit Life & Health	3/25/1996	1/14/1997
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	3/25/1996	1/14/1997
Inactive	Liberty Life Insurance Company	301542	Agent - Health	11/4/1998	11/4/1999
Inactive	Liberty Life Insurance Company	301542	Agent - Life	11/4/1998	11/4/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/31/2000	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/31/2000	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bruce Walters Ford Sales Inc.	400923	Agent - Credit Life & Health	3/27/1996	1/14/1997