DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Booth, Stephanie G	DOIID	544094	NAIC NPN	7223995

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/22/2002	8/31/2005
* 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	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2003	12/16/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/4/2004	8/31/2005
Inactive	Western National Life Insurance Company	300461	Agent - Life	5/22/2002	2/1/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	2/28/2005
Inactive	National City Insurance Group Inc.	399045	Agent - Life	8/13/2004	2/28/2005