DEPARTMENT OF INSURANCE

Name	Thayer, Mark Andrew	DOIID	336216	NAIC NPN	254110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	12/10/2007	9/30/2009
Inactive	Non Resident	Agent	Life	1/13/2010	9/30/2013
Inactive	Non Resident	Agent	Health	1/13/2010	9/30/2013
Inactive	Non Resident	Agent	Property	12/10/2007	9/30/2009
Inactive	Non Resident	Agent	General Lines	7/30/1999	8/15/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Longevity Alliance Inc. 5530 W Chandler BlvdChandler, AZ 852263697

Phone Information

Type	Phone
Business / Home Office	(800) 713-6610