DEPARTMENT OF INSURANCE
Affiliations
NameMember Insurance Agency Inc.DOIID396152NAIC NPN7220455
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable3/7/19963/31/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBechtold, Annette Marie 378322Administrator - Not Applicable3/7/19963/31/2001
InactiveJensen, Douglas James 363739Administrator - Not Applicable3/7/19963/31/2001
InactiveKulowitch, Robert Charles 313127Administrator - Not Applicable3/7/19963/31/1999
InactiveVoss, William Harry 354588Administrator - Not Applicable3/7/19963/31/2001

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