DEPARTMENT OF INSURANCE
Affiliations
NameIns Benefits Of OhioDOIID770201NAIC NPN16460564
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife12/6/20113/31/2013 
InactiveNon ResidentAgentHealth12/6/20113/31/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTransamerica Life Insurance Company300571Agent - Health3/30/20123/31/2013
InactiveTransamerica Life Insurance Company300571Agent - Life3/30/20123/31/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMiracle, Katie M 769940Agent - Health12/6/20113/31/2013
InactiveMiracle, Katie M 769940Agent - Life12/6/20113/31/2013

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