DEPARTMENT OF INSURANCE

Affiliations

Name	Foxworth, Stacey Cheyenne	DOIID	1042038	NAIC NPN	18994689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/30/2019	6/30/2021
Inactive	Non Resident	Agent	Casualty	5/30/2019	6/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Paul Moss Insurance Agency LLC	833857	Agent - Casualty
Denied	Paul Moss Insurance Agency LLC	833857	Agent - Property