DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Patton, Jeffrey	DOIID	693322	NAIC NPN	12185049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/11/2008	6/30/2010
Inactive	Non Resident	Agent	Casualty	11/5/2010	6/30/2012
Inactive	Non Resident	Agent	Property	11/5/2010	6/30/2012
* 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	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/19/2008	12/4/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/12/2010	4/15/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/12/2010	4/15/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/19/2008	12/4/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	11/12/2010	4/15/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	11/12/2010	4/15/2011