DEPARTMENT OF INSURANCE

Affiliations

Name	Wentworth, Patricia	DOIID	711123	NAIC NPN	14665965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	8/19/2009	5/31/2014
* 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
Inactive	Professional Brokerage Inc	644315	Administrator - Not Applicable	9/15/2009	3/31/2012
Inactive	Tristar Benefit Administrators Inc	751910	Administrator - Not Applicable	10/5/2011	5/31/2014