DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Prokopchak, John Nicholas	DOIID	383962	NAIC NPN	1294811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/19/1999	1/24/2005
Inactive	Non Resident	Agent	Health	10/19/1999	1/24/2005
* 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 of America	301134	Agent - Health	10/19/1999	1/24/2005
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	10/19/1999	1/24/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CFG Insurance Services	398733	Agent - Life	10/26/1999	1/18/2005
Inactive	CFG Insurance Services	398733	Agent - Health	10/26/1999	1/18/2005