DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Gregory Wayne	DOIID	346743	NAIC NPN	101135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/8/1990	7/1/1996
Inactive	Resident	Agent	Health	5/8/1990	7/1/1996
* 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	Ability Insurance Company	301013	Agent - Health	12/28/1995	7/1/1996
Inactive	Ability Insurance Company	301013	Agent - Life	12/28/1995	7/1/1996
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	9/12/1994	7/1/1996
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	9/12/1994	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/11/1995	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/11/1995	7/1/1996
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/19/1995	7/1/1996
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/19/1995	7/1/1996
Inactive	Medico Insurance Company	301559	Agent - Health	12/28/1995	7/1/1996
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	1/8/1993	7/1/1996
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	1/8/1993	7/1/1996
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	5/8/1990	7/1/1996
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	5/8/1990	7/1/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	9/22/1994	7/1/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/22/1994	7/1/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	12/11/1990	7/1/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	12/11/1990	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/27/1996	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/27/1996	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Bradshaw Co	399179	Agent - Life	3/6/1992	7/1/1996
Inactive	Frank Bradshaw Co	399179	Agent - Health	3/6/1992	7/1/1996
Inactive	Medlink Inc	400721	Agent - Life	1/8/1992	7/1/1996
Inactive	Medlink Inc	400721	Agent - Health	1/8/1992	7/1/1996