DEPARTMENT OF INSURANCE

Affiliations

Name	Sampson, Norman W	DOIID	641581	NAIC NPN	2050683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/5/2010	1/31/2012
Inactive	Non Resident	Agent	Life	10/5/2010	1/31/2012
* 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	Corporate Call Center, Inc	695480	Agent - Health
Denied	Corporate Call Center, Inc	695480	Agent - Life