DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Carolyn L	DOIID	384656	NAIC NPN	7206642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2004
Inactive	Resident	Agent	Credit Life & Health	1/25/1995	8/7/2000
* 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	CMFG Life Insurance Company	300929	Agent - Credit Life & Health	1/25/1995	8/7/2000
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	8/7/2000	3/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Members Heritage Credit Union	400925	Agent - Credit Life & Health	2/8/1995	5/21/1997
Inactive	Members Heritage Credit Union	400925	Agent - Limited Line Credit	7/18/2002	3/31/2004