DEPARTMENT OF INSURANCE
Affiliations
NameDavis, Mark MDOIID579270NAIC NPN7912750
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth11/10/200312/20/2004 
InactiveResidentAgentLife11/10/200312/20/2004 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational States Insurance Company300579Agent - Health11/10/200312/20/2004
InactiveNational States Insurance Company300579Agent - Life11/10/200312/20/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveU H S of KY, Inc.400144Agent - Health11/25/20035/7/2004
InactiveU H S of KY, Inc.400144Agent - Life11/25/20035/7/2004

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