DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mid-Atlantic Region Inc	DOIID	600309	NAIC NPN	8339238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/31/2005		3/31/2027
Active	Non Resident	Agent	Life	1/31/2005		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Professional Insurance Company	301281	Agent - Health	2/8/2005
Active	Professional Insurance Company	301281	Agent - Life	2/8/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Denton, Harold Ray	391449	Agent - Health	1/31/2005
Active	Denton, Harold Ray	391449	Agent - Life	1/31/2005