DEPARTMENT OF INSURANCE

Name	Midland Life Ins Agency Inc.	DOIID	400646	NAIC NPN	7222563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/14/1986	1/1/2022
Inactive	Resident	Agent	Life	5/31/2001	1/1/2022
Inactive	Resident	Agent	Prepaid Dental Plan	2/14/1984	3/1/2001

*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.

Address Information

Type	Address
Business / Home Office	2841 13th St Ashland, KY 41101

Internet Information

Type	Address
Business Email	willis@midlandins.com