DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vassallo, Juan P	DOIID	375874	NAIC NPN	7202773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	4/20/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/2/2004
* 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	First Alliance Insurance Company	301000	Agent - Credit Life & Health	4/20/1999	8/7/2000
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	2/23/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stock Yards Bank And Trust Co.	400299	Agent - Limited Line Credit	11/25/2003	2/23/2004