DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Lori Ann	DOIID	646225	NAIC NPN	8998092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	1/12/2007	1/13/2009
* 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	Individual Assurance Company Life Health & Accident	300580	Agent - Limited Line Credit	2/13/2007	1/13/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peoples Bank National Association	522118	Agent - Limited Line Credit	2/13/2007	1/13/2009