DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gaughan, Lisa Dawn	DOIID	582447	NAIC NPN	6086487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/14/2004	9/30/2006
Inactive	Non Resident	Agent	Life	1/14/2004	9/30/2006
Inactive	Non Resident	Agent	Health	1/14/2004	9/30/2006
Inactive	Non Resident	Agent	Property	1/14/2004	9/30/2006
* 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	2/2/2004	9/30/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/2/2004	9/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brooke Agency Services Company, LLC	544183	Agent - Health	3/4/2004	4/24/2006
Inactive	Brooke Agency Services Company, LLC	544183	Agent - Life	3/4/2004	4/24/2006
Denied	Brooke Franchise Corporation -000	603017	Agent - Casualty
Inactive	Brooke Franchise Corporation -000	603017	Agent - Health	3/7/2005	4/24/2006
Inactive	Brooke Franchise Corporation -000	603017	Agent - Life	3/7/2005	4/24/2006
Denied	Brooke Franchise Corporation -000	603017	Agent - Property
Inactive	Brooke Life and Health, Inc.	543748	Agent - Health	9/6/2006	9/30/2006
Inactive	Brooke Life and Health, Inc.	543748	Agent - Life	9/6/2006	9/30/2006
Inactive	Crailhuntly LLC	637944	Agent - Life	8/14/2006	9/30/2006