DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Dawson Robinson	DOIID	378447	NAIC NPN	7203907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/6/1991	7/1/2002
* 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	Aviva Life Insurance Company	301615	Agent - Life	11/11/1997	7/1/2002
Inactive	Forethought Life Insurance Company	301407	Agent - Life	11/6/1991	7/1/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	1/29/2001	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Conquest Marketing Group Inc.	400552	Agent - Life	8/28/1997	7/1/2002
Inactive	James H. Davis Funeral Home Inc.	398770	Agent - Life	4/10/1998	7/1/2002