DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Galan, David Mark	DOIID	632390	NAIC NPN	581068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/2/2006	6/30/2007
Inactive	Non Resident	Agent	Life	5/19/2006	6/30/2007
* 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	American General Life Insurance Company	301585	Agent - Life	6/25/2006	6/7/2007
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/28/2006	12/16/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/21/2006	6/30/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/19/2006	12/1/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/7/2006	11/13/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/14/2006	11/17/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/25/2006	1/5/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/18/2006	11/16/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	7/31/2006	11/30/2006