DEPARTMENT OF INSURANCE
Affiliations
NameMid- Atlantic Long Term CareDOIID588725NAIC NPN8058226
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/28/20042/10/2005 
InactiveNon ResidentAgentLife4/28/20042/10/2005 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCasey, David DeWitt 581614Agent - Health4/28/20042/10/2005
InactiveCasey, David DeWitt 581614Agent - Life4/28/20042/10/2005
InactiveFleming, Michael G 560616Agent - Health4/28/20042/10/2005
InactiveFleming, Michael G 560616Agent - Life4/28/20042/10/2005
InactiveHillock, Don Donald 389840Agent - Health5/24/20042/10/2005
InactiveHillock, Don Donald 389840Agent - Life5/24/20042/10/2005
InactiveLauttamus, Ronald Dennis 387443Agent - Health5/24/20042/10/2005
InactiveLauttamus, Ronald Dennis 387443Agent - Life6/28/20042/10/2005
InactiveMalcom, James Anthony 588742Agent - Health5/17/200411/30/2004
InactiveMalcom, James Anthony 588742Agent - Life5/17/200411/30/2004
InactiveProffitt, Richard G 384659Agent - Health5/24/20042/10/2005
InactiveProffitt, Richard G 384659Agent - Life5/24/20042/10/2005
InactiveProffitt, Richie G 321482Agent - Health5/24/20042/10/2005
InactiveProffitt, Richie G 321482Agent - Life5/24/20042/10/2005

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