DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lavender, Patricia Ann	DOIID	879985	NAIC NPN	9316255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/9/2015	8/31/2024
Inactive	Non Resident	Agent	Health	6/9/2015	8/31/2024
* 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
Inactive	American General Life Insurance Company	301585	Agent - Health	6/30/2015	8/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	6/30/2015	8/31/2024
Inactive	New York Life Insurance Company	300431	Agent - Health	3/2/2018	9/14/2023
Inactive	New York Life Insurance Company	300431	Agent - Life	3/2/2018	9/14/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/31/2016	8/31/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/31/2016	8/31/2024
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/31/2016	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/31/2016	10/1/2020
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	6/30/2015	8/31/2024
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	6/30/2015	8/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMA Insurance Agency Inc.	396159	Agent - Life	10/25/2016	8/31/2024
Inactive	AMA Insurance Agency Inc.	396159	Agent - Health	10/25/2016	8/31/2024