DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mialback, George Louis	DOIID	352103	NAIC NPN	138027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
* 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
Denied	Bankers United Life Assurance Company	300296	Agent - Health
Inactive	Bankers United Life Assurance Company	300296	Agent - Life		12/31/2001
Inactive	Forethought Life Insurance Company	301407	Agent - Life	5/14/1996	8/4/1997
Denied	Life Investors Insurance Company of America	301793	Agent - Health
Denied	Life Investors Insurance Company of America	301793	Agent - Life
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/11/1995	4/26/1996
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/11/1995	4/26/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/11/1994	4/26/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/11/1994	4/26/1996
Denied	Transamerica Premier Life Insurance Company	300558	Agent - Health

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Financial Corporation	399864	Agent - Life	8/16/1995	4/26/1996
Inactive	Cornerstone Financial Corporation	399864	Agent - Health	8/16/1995	4/26/1996
Inactive	Frank Bradshaw Co	399179	Agent - Life	7/27/1995	4/26/1996
Inactive	Frank Bradshaw Co	399179	Agent - Health	7/27/1995	4/26/1996