DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Deaver, Larry Douglas	DOIID	552940	NAIC NPN	229630

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/27/2002	8/31/2008
Inactive	Non Resident	Agent	Health	6/27/2002	8/31/2008
* 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	First Colony Life Insurance Company	301179	Agent - Health	10/24/2002	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/24/2002	12/20/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/27/2002	10/31/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/27/2002	10/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Health	8/2/2004	4/17/2006
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	8/2/2004	4/17/2006