DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mulliken, David C	DOIID	344953	NAIC NPN	7189195

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/28/1994	7/1/1998
Inactive	Resident	Agent	Life	7/28/1994	7/1/1998
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	8/10/1994	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/10/1994	3/31/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	7/28/1994	7/1/1998
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	7/28/1994	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997