DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Poulsen, Cristina Lee	DOIID	1079669	NAIC NPN	17933274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/29/2020		9/30/2026
Active	Non Resident	Agent	Property	3/29/2020		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/03/2024	07/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National Casualty Company	301483	Agent - Casualty	4/7/2020
Active	National Casualty Company	301483	Agent - Property	4/7/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	DVM Insurance Agency	636779	Agent - Casualty	4/7/2020
Active	DVM Insurance Agency	636779	Agent - Property	4/7/2020