DEPARTMENT OF INSURANCE
Affiliations
NameJohnson, Shirley FayDOIID309445NAIC NPN1729269
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines12/6/19748/15/2000 
InactiveResidentAgentLife1/24/19922/19/1996 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - General Lines7/31/19952/19/1996
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines8/3/19932/19/1996
InactiveAmerican Economy Insurance Company300315Agent - General Lines5/25/19892/19/1996
InactiveAmerican States Insurance Company301230Agent - General Lines5/25/19892/19/1996
InactiveAmerican States Preferred Insurance Company300609Agent - General Lines5/25/19892/19/1996
InactiveChase Life and Annuity Company300145Agent - Life9/6/19852/19/1996
InactiveConsolidated Insurance Company300943Agent - General Lines1/10/20008/15/2000
InactiveContinental Casualty Company301019Agent - General Lines8/3/19932/19/1996
InactiveGlobe American Casualty Company301033Agent - General Lines2/15/19942/26/1996
InactiveGrange Insurance Company300234Agent - General Lines4/25/19968/15/2000
InactiveGrange Life Insurance Company300128Agent - Life5/5/19952/19/1996
InactiveGuarantee Life Insurance Company301560Agent - Life11/6/19912/19/1996
InactiveIllinois National Insurance Company301367Agent - General Lines7/31/19952/19/1996
InactiveIndiana Insurance Company301909Agent - General Lines4/18/19968/15/2000
InactiveInfinity Insurance Company300416Agent - General Lines3/25/19942/19/1996
InactiveInvestors Life Insurance Company of Indiana301657Agent - Life1/24/19922/19/1996
InactiveKentucky National Insurance Company301625Agent - General Lines12/16/19912/19/1996
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines8/3/19932/19/1996
InactiveNational Insurance Association301386Agent - General Lines9/25/19923/31/1996
InactiveNetherlands Insurance Company (The)300339Agent - General Lines1/10/20008/15/2000
InactiveOhio Farmers Insurance Company301667Agent - General Lines1/27/19922/19/1996
InactiveOmni Insurance Company301545Agent - General Lines5/11/19942/19/1996
InactivePacific Employers Insurance Company301753Agent - General Lines4/9/19862/19/1996
InactivePeerless Insurance Company301910Agent - General Lines1/10/20008/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines12/6/19742/19/1996
InactiveTranscontinental Insurance Company301731Agent - General Lines8/3/19932/19/1996
InactiveTransportation Insurance Company301575Agent - General Lines8/3/19932/19/1996
InactiveUnited States Fidelity and Guaranty Company301449Agent - General Lines5/2/19902/19/1996
InactiveValley Forge Insurance Company301052Agent - General Lines8/3/19932/19/1996
InactiveWestfield Insurance Company301950Agent - General Lines1/27/19922/19/1996
InactiveWestfield National Insurance Company301036Agent - General Lines1/27/19922/19/1996
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFrank Gross Insurance Agency Inc.398821Agent - Life5/21/19902/19/1996
InactiveFrank Gross Insurance Agency Inc.398821Agent - General Lines4/18/19968/15/2000

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