DEPARTMENT OF INSURANCE

Affiliations

Name	Jorgensen, Melissa Ann	DOIID	1314573	NAIC NPN	20120731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/12/2023	1/31/2027
Active	Non Resident	Agent	Casualty	12/12/2023	1/31/2027
* 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	21st Mortgage Corporation	535238	Agent - Casualty
Denied	21st Mortgage Corporation	535238	Agent - Property