DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mohs, Deborah Denise	DOIID	323990	NAIC NPN	3119996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/13/2001
Inactive	Resident	Agent	General Lines	3/17/1999	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	9/13/2001
* 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
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	9/13/2001
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	3/17/1999	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	9/13/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Glenlake Insurance Agency Inc. of Kentucky	399379	Agent - General Lines	4/30/1999	8/15/2000
Inactive	Glenlake Insurance Agency Inc. of Kentucky	399379	Agent - Property	8/15/2000	9/13/2001
Inactive	Glenlake Insurance Agency Inc. of Kentucky	399379	Agent - Casualty	8/15/2000	9/13/2001