DEPARTMENT OF INSURANCE

Name	Mid- Atlantic Long Term Care	DOIID	588725	NAIC NPN	8058226

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	Health	4/28/2004	2/10/2005
Inactive	Non Resident	Agent	Life	4/28/2004	2/10/2005

*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	2504 Shiland Dr Rock Hill, SC 29732
Mailing	2504 Shiland Dr Rock Hill, SC 29732

Phone Information

Type	Phone
Business / Home Office	(803) 366-1922