DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fowler, Fonda Lee	DOIID	372524	NAIC NPN	547555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/10/1990	7/1/1996
Inactive	Resident	Agent	Health	4/2/1991	7/1/1996
Inactive	Resident	Agent	Life	4/2/1991	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	Continental Insurance Company (The)	301242	Agent - General Lines	4/10/1990	7/1/1996
Inactive	Professional Insurance Company	301281	Agent - Health	6/18/1991	7/1/1996
Inactive	Professional Insurance Company	301281	Agent - Life	6/18/1991	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	Agents & Brokers Mass-Marketing Inc.	399560	Agent - Life	10/6/1992	7/1/1996
Inactive	Agents & Brokers Mass-Marketing Inc.	399560	Agent - Health	10/6/1992	7/1/1996
Inactive	Insuramax LLC	400061	Agent - General Lines	4/2/1991	6/19/1996
Inactive	Insuramax LLC	400061	Agent - Life	4/2/1991	6/19/1996
Inactive	Insuramax LLC	400061	Agent - Health	4/2/1991	6/19/1996