DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Canfield, Michelle	DOIID	716070	NAIC NPN	15103784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	12/23/2009	7/1/2016
* 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	Integrity Life Insurance Company	301687	Agent - Life	3/25/2010	8/7/2010
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	3/30/2010	7/30/2010
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/30/2010	7/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	3/30/2010	8/7/2010
Denied	PNC Insurance Services LLC	400874	Agent - Life