DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Patricia Leaann	DOIID	377419	NAIC NPN	259885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/28/1996	6/30/2003
Inactive	Non Resident	Agent	Health	6/28/1996	6/30/2003
* 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	Nationwide Life Insurance Company	300495	Agent - Health	11/9/2000	12/30/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/9/2000	12/30/2002
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/5/2000	12/30/2002
Inactive	United Investors Life Insurance Company	301873	Agent - Health	6/28/1996	6/30/2003
Inactive	United Investors Life Insurance Company	301873	Agent - Life	6/28/1996	3/28/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Life	9/1/2000	12/30/2002
Inactive	W & R Insurance Agency	398729	Agent - Health	9/1/2000	6/30/2003