DEPARTMENT OF INSURANCE

Affiliations

Name	Hemond, Alphonse Andre	DOIID	797190	NAIC NPN	16825750

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/7/2012	6/30/2015
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Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professional Disability Associates	797191	Administrator - Not Applicable	11/7/2012	6/30/2015