DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mallek Ii, Lawrence Robert	DOIID	910799	NAIC NPN	17867871

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/24/2016	2/28/2019
Inactive	Non Resident	Agent	Health	3/24/2016	2/28/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	3/24/2016	6/30/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	3/24/2016	6/30/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	12/16/2016	6/6/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	12/16/2016	6/6/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/8/2018	12/24/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/26/2017	7/10/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/26/2017	7/10/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/12/2016	2/12/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/12/2016	2/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	7/25/2017	2/12/2019