DEPARTMENT OF INSURANCE

Affiliations

Name	Wise, Leslie Ann	DOIID	325851	NAIC NPN	7171607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	7/31/2006		9/30/2024
Active	Resident	Agent	Property	7/31/2006		9/30/2024
Inactive	Resident	Apprentice Adjuster	Not Applicable	6/2/1997	6/2/1998
Active	Resident	Independent Adjuster	Property & Casualty	3/9/1999		9/30/2024
* 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	07/15/2024	09/30/2024
Independent Adjuster	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	9/25/2006	8/10/2010
Inactive	AIG Assurance Company	300897	Agent - Property	9/25/2006	8/10/2010
Inactive	American Economy Insurance Company	300315	Agent - Casualty	4/9/2010	9/22/2011
Inactive	American Economy Insurance Company	300315	Agent - Property	4/9/2010	9/22/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/9/2010	9/22/2011
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/9/2010	9/22/2011
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/30/2014	11/4/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/30/2014	11/4/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/30/2014	11/4/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/30/2014	11/4/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/30/2014	11/4/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/30/2014	11/4/2015
Inactive	American States Insurance Company	301230	Agent - Casualty	4/9/2010	9/22/2011
Inactive	American States Insurance Company	301230	Agent - Property	4/9/2010	9/22/2011
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	11/12/2007	10/8/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	11/12/2007	10/8/2010
Inactive	Assurance Company of America	300432	Agent - Casualty	12/6/2012	1/20/2014
Inactive	Assurance Company of America	300432	Agent - Property	12/6/2012	1/20/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	11/10/2006	11/2/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	11/10/2006	11/2/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/6/2015	11/3/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/6/2015	11/3/2015
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	6/6/2014	10/28/2015
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	6/6/2014	10/28/2015
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	6/6/2014	10/28/2015
Inactive	CSAA General Insurance Company	606675	Agent - Property	6/6/2014	10/28/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/9/2010	9/22/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/12/2014	11/4/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/12/2014	11/4/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/9/2010	9/22/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	4/9/2010	9/22/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/22/2014	11/3/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/22/2014	11/3/2015
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/9/2010	9/22/2011
Inactive	General Insurance Company of America	300261	Agent - Property	4/9/2010	9/22/2011
Inactive	Granite State Insurance Company	300818	Agent - Casualty	9/25/2006	8/10/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	9/25/2006	8/10/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/18/2007	8/10/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/18/2007	8/10/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Indiana Insurance Company	301909	Agent - Property	4/9/2010	9/22/2011
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/23/2007	10/30/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/23/2007	10/30/2015
Inactive	Maryland Casualty Company	301719	Agent - Casualty	12/6/2012	1/20/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	12/6/2012	1/20/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/9/2010	9/22/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	12/6/2012	1/20/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	12/6/2012	1/20/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/9/2010	9/22/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/9/2010	9/22/2011
Inactive	Owners Insurance Company	300796	Agent - Casualty	11/10/2006	11/2/2015
Inactive	Owners Insurance Company	300796	Agent - Property	11/10/2006	11/2/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/9/2010	9/22/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/9/2010	9/22/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	4/9/2010	9/22/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	8/10/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	8/10/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/9/2010	9/22/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/9/2010	9/22/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/9/2010	9/22/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/9/2010	9/22/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/9/2015	10/11/2018
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/9/2015	10/11/2018
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/9/2015	10/11/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	4/9/2010	9/22/2011
Inactive	West American Insurance Company	301112	Agent - Property	4/9/2010	9/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century Claims Service, Inc.	578368	Independent Adjuster - Property & Casualty	10/10/2003	3/31/2007
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	6/3/2014	10/8/2014
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	6/3/2014	10/8/2014
Inactive	Forcht Insurance Agency	398469	Agent - Casualty	2/1/2007	11/2/2015
Inactive	Forcht Insurance Agency	398469	Agent - Property	2/1/2007	11/2/2015
Inactive	Gatehouse Insurance Corp.	398828	Agent - Casualty	1/13/2015	10/29/2015
Inactive	Gatehouse Insurance Corp.	398828	Agent - Property	1/13/2015	10/29/2015