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DEPARTMENT OF INSURANCE
Affiliations
Name
Professional Financial Services Inc.
DOIID
399491
NAIC NPN
7221698
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
7/25/1984
5/31/2004
Inactive
Resident
Agent
Health
7/25/1984
5/31/2004
* 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
Citizens Security Life Insurance Company
301257
Agent - Health
1/6/1989
3/31/1997
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
1/6/1989
3/31/1997
Inactive
Franklin Life Insurance Company (The)
300779
Agent - Health
11/2/1988
3/31/1997
Inactive
Franklin Life Insurance Company (The)
300779
Agent - Life
11/2/1988
3/31/1997
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
7/25/1984
5/31/2004
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
7/25/1984
5/31/2004
Inactive
SeeChange Health Insurance Company
301115
Agent - Health
11/28/1988
3/31/1997
Inactive
SeeChange Health Insurance Company
301115
Agent - Life
11/28/1988
3/31/1997
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Burke, Garrett Dean
356772
Agent - Health
1/10/1984
5/31/2004
Inactive
Burke, Garrett Dean
356772
Agent - Life
1/10/1984
5/31/2004
Inactive
Ulmer, Donna M
340482
Agent - Health
9/3/1987
5/31/2004
Inactive
Ulmer, Donna M
340482
Agent - Life
9/3/1987
5/31/2004
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