DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dougherty, Daniel Joseph	DOIID	356066	NAIC NPN	7194145

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/21/1987	5/1/2011
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/9/2007	7/31/2009
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/21/1987	5/1/2011
Inactive	IA American Life Insurance Company	301149	Agent - Life	6/20/1995	1/2/1996
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	2/9/2004	1/25/2008
Inactive	Southland National Insurance Corporation	517954	Agent - Life	7/20/2005	3/21/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Highlands Family Owned Funeral Home	611100	Agent - Life	6/27/2005	9/25/2009