DEPARTMENT OF INSURANCE

Affiliations

Name	Fulks, Leigh Ann H	DOIID	833103	NAIC NPN	2371571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/5/2014	4/30/2027
Active	Non Resident	Agent	Life	2/5/2014	4/30/2027
* 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
Denied	Usi Insurance Services LLC	669260	Agent - Health
Denied	Usi Insurance Services LLC	669260	Agent - Life