DEPARTMENT OF INSURANCE

Name	Fell, Wayne Michael	DOIID	343396	NAIC NPN	2986069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Prepaid Dental Plan	12/27/2000	3/1/2001
Inactive	Non Resident	Agent	Health	11/9/1999	7/31/2011
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2011
Inactive	Non Resident	Agent	Life	11/9/1999	7/31/2011
Inactive	Non Resident	Agent	Health Maintenance Organization	2/23/2000	3/1/2001
Inactive	Non Resident	Agent	General Lines	11/9/1999	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/18/2007	7/31/2011

*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
Business / Home Office	760 W Main St Ste 100 Barrington, IL 60010
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(847) 639-5089