PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDougherty, Dennis L.DOIID789157NAIC NPN16765059
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife8/30/20123/1/2014 
InactiveResidentAgentHealth8/30/20123/1/2014 
* 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
InactiveColonial Life and Accident Insurance Company300846Agent - Health8/9/20133/1/2014
InactiveColonial Life and Accident Insurance Company300846Agent - Life8/9/20133/1/2014
InactiveLincoln Heritage Life Insurance Company500016Agent - Health8/26/20134/14/2014
InactiveLincoln Heritage Life Insurance Company500016Agent - Life8/26/20134/14/2014
InactivePhysicians Life Insurance Company300924Agent - Life9/6/201210/22/2013
InactivePhysicians Mutual Insurance Company, Inc.301084Agent - Health9/6/201210/22/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life12/17/20133/1/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/17/20133/1/2014
InactiveMedlink Inc400721Agent - Life2/18/20133/1/2014
InactiveMedlink Inc400721Agent - Health2/18/20133/1/2014

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