DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Services Agency Inc.	DOIID	399487	NAIC NPN	7221694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	9/26/1983	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2003
Inactive	Resident	Agent	Property	8/15/2000	5/31/2003
* 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	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	9/26/1983	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adkisson, William Harold	365605	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Adkisson, William Harold	365605	Agent - General Lines	9/6/1983	8/15/2000
Inactive	Adkisson, William Harold	365605	Agent - Property	8/15/2000	3/31/2002