DEPARTMENT OF INSURANCE

Name	QQAgency of Ohio, Inc.	DOIID	544184	NAIC NPN	5698359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	1/14/2002	3/31/2010
Inactive	Non Resident	Agent	Health	1/14/2002	3/31/2010

*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	17800 Royalton Rd. Strongsville, OH 44136

Internet Information

Type	Address
Business Email	1derifield@centralreserve.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(440) 572-2400