DEPARTMENT OF INSURANCE
Affiliations
NameBank of Ohio CountyDOIID398744NAIC NPN7221119
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCredit Life & Health3/16/19928/7/2000 
InactiveResidentAgentLimited Line Credit5/2/20023/31/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Credit Life & Health12/3/19938/7/2000
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Limited Line Credit5/2/20023/1/2005
InactiveNational Guardian Life Insurance Company300596Agent - Credit Life & Health12/20/19939/6/1996
InactiveProtective Life Insurance Company300638Agent - Credit Life & Health3/16/19928/7/2000
InactiveProtective Life Insurance Company300638Agent - Limited Line Credit5/2/200212/21/2010
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health9/8/19988/7/2000
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit5/2/20023/31/2016
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health1/6/19959/3/1998
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFazel, Dale Allen 381392Agent - Limited Line Credit5/2/200210/31/2012
InactiveLawson, Jonathan Ashley 348132Agent - Credit Life & Health2/14/19918/7/2000
InactiveLawson, Jonathan Ashley 348132Agent - Limited Line Credit2/1/20133/31/2016

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