DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, David Joseph	DOIID	527566	NAIC NPN	5182816

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/15/2001	4/30/2008
Inactive	Non Resident	Agent	Health	6/15/2001	4/30/2008
Denied	Resident	Life & Health Consultant	Not Applicable
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/15/2001	4/30/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/15/2001	4/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	9/12/2002	4/30/2008
Inactive	Medlink Inc	400721	Agent - Life	9/12/2002	4/30/2008