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DEPARTMENT OF INSURANCE
Affiliations
Name
Mata, Guillermo
DOIID
1198624
NAIC NPN
18250888
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Personal Lines
4/12/2022
5/31/2026
* 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
03/15/2024
05/31/2024
04/16/2024
04/16/2024
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
American Strategic Insurance Corp
883540
Agent - Personal Lines
4/9/2024
Active
Bristol West Insurance Company
301655
Agent - Personal Lines
4/16/2024
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Personal Lines
4/16/2024
Inactive
Progressive Casualty Insurance Company
300696
Agent - Personal Lines
1/5/2023
1/29/2024
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Branch Financial Inc
1120010
Agent - Personal Lines
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