DEPARTMENT OF INSURANCE

Affiliations

Name	Conwell Jr, William Wells	DOIID	736026	NAIC NPN	554279

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/1/2010	9/30/2011
Inactive	Non Resident	Agent	Life	9/1/2010	9/30/2011
* 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	Dixon Wells Inc	735945	Agent - Health	9/16/2010	9/30/2011
Inactive	Dixon Wells Inc	735945	Agent - Life	9/16/2010	9/30/2011