DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Mary Patricia	DOIID	537132	NAIC NPN	7219344

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/8/2002	11/23/2009
* 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	Jackson National Life Insurance Company	300486	Agent - Life	10/23/2008	6/3/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/14/2002	6/3/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/13/2003	11/23/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/5/2003	7/8/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	1/8/2002	6/3/2009
Inactive		300277	Agent - Life	11/12/2003	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Integra Bank National Association	558914	Agent - Life	11/7/2006	8/11/2009