DEPARTMENT OF INSURANCE

Affiliations

Name	Broglen, James Richard	DOIID	599366	NAIC NPN	1664460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/6/2004	3/31/2010
Inactive	Non Resident	Agent	Health	12/6/2004	3/31/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Regions Insurance, Inc.	502037	Agent - Life
Denied	Regions Insurance, Inc.	502037	Agent - Health