DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Lawrence Joseph	DOIID	541828	NAIC NPN	5026421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/26/2001	9/3/2014
* 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	Shelter Life Insurance Company	300391	Agent - Life	11/26/2001	9/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	2/27/2003	9/3/2014