DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mullin Insurance Services Inc.	DOIID	400218	NAIC NPN	963637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/29/1991	5/31/2003
Inactive	Non Resident	Agent	Life	4/29/1991	5/31/2003
* 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	Pacific Life Insurance Company	301848	Agent - Health	4/29/1991	5/31/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Life	4/29/1991	5/31/2003
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/27/2001	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/27/2001	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/27/2001	5/31/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/27/2001	5/31/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/27/2001	5/31/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/27/2001	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harahan, Michael W	348221	Agent - Health	4/29/1991	4/30/2003
Inactive	Harahan, Michael W	348221	Agent - Life	4/29/1991	4/30/2003
Inactive	Mullin, Peter William	318173	Agent - Health	4/29/1991	5/31/2003
Inactive	Mullin, Peter William	318173	Agent - Life	4/29/1991	5/31/2003