DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Emery, David Stephen	DOIID	375457	NAIC NPN	626251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/2/1997	7/1/1998
Inactive	Resident	Agent	Health	6/2/1997	7/1/1998
* 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	5/6/1998	7/1/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/6/1998	7/1/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/1/1997	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/4/1997	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/4/1997	7/1/1998
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/2/1997	6/26/1998
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/2/1997	6/26/1998
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/2/1997	6/26/1998
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/2/1997	6/26/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prudential Direct Inc.	400266	Agent - Life	11/17/1997	7/1/1998
Inactive	Prudential Direct Inc.	400266	Agent - Health	11/17/1997	7/1/1998