DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackledge, Edward C	DOIID	346442	NAIC NPN	1356322

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/27/1994	8/4/2003
Inactive	Non Resident	Agent	Life	7/27/1994	8/4/2003
* 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	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/1/1995	7/12/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/1/1995	7/12/1996
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/27/1994	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/27/1994	3/31/1997
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	7/27/1994	3/31/1997
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/23/1998	7/25/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/23/1998	7/25/2001
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/1/1995	8/4/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/1/1995	8/4/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Everest Financial Inc	400833	Agent - Life	10/26/1998	2/17/2003
Inactive	Everest Financial Inc	400833	Agent - Health	10/26/1998	2/17/2003