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DEPARTMENT OF INSURANCE
Affiliations
Name
Mid- Atlantic Long Term Care
DOIID
588725
NAIC NPN
8058226
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
4/28/2004
2/10/2005
Inactive
Non Resident
Agent
Life
4/28/2004
2/10/2005
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Casey, David DeWitt
581614
Agent - Health
4/28/2004
2/10/2005
Inactive
Casey, David DeWitt
581614
Agent - Life
4/28/2004
2/10/2005
Inactive
Fleming, Michael G
560616
Agent - Health
4/28/2004
2/10/2005
Inactive
Fleming, Michael G
560616
Agent - Life
4/28/2004
2/10/2005
Inactive
Hillock, Don Donald
389840
Agent - Health
5/24/2004
2/10/2005
Inactive
Hillock, Don Donald
389840
Agent - Life
5/24/2004
2/10/2005
Inactive
Lauttamus, Ronald Dennis
387443
Agent - Health
5/24/2004
2/10/2005
Inactive
Lauttamus, Ronald Dennis
387443
Agent - Life
6/28/2004
2/10/2005
Inactive
Malcom, James Anthony
588742
Agent - Health
5/17/2004
11/30/2004
Inactive
Malcom, James Anthony
588742
Agent - Life
5/17/2004
11/30/2004
Inactive
Proffitt, Richard G
384659
Agent - Health
5/24/2004
2/10/2005
Inactive
Proffitt, Richard G
384659
Agent - Life
5/24/2004
2/10/2005
Inactive
Proffitt, Richie G
321482
Agent - Health
5/24/2004
2/10/2005
Inactive
Proffitt, Richie G
321482
Agent - Life
5/24/2004
2/10/2005
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