DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnston, Mitzi Dyan	DOIID	1175851	NAIC NPN	18853072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/7/2021		1/31/2026
Active	Non Resident	Agent	Property	12/7/2021		1/31/2026
Active	Non Resident	Agent	Personal Lines	12/7/2021		1/31/2026
* 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	American Strategic Insurance Corp	883540	Agent - Casualty	5/3/2022
Active	American Strategic Insurance Corp	883540	Agent - Property	5/3/2022
Active	Branch Insurance Exchange	1143306	Agent - Casualty	3/23/2022
Active	Branch Insurance Exchange	1143306	Agent - Personal Lines	3/23/2022
Active	Branch Insurance Exchange	1143306	Agent - Property	3/23/2022
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/27/2022	6/30/2023
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Personal Lines	1/27/2022	6/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Branch Financial Inc	1120010	Agent - Casualty	6/14/2022
Active	Branch Financial Inc	1120010	Agent - Property	6/14/2022