DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Eric Ross	DOIID	647653	NAIC NPN	9038346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/23/2007	12/1/2009
* 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	Modern Woodmen of America	301213	Agent - Life	1/23/2007	6/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MWAGIA, Inc	549166	Agent - Life	1/24/2007	6/30/2009