PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameVan Dussen, Priscilla LouDOIID503383NAIC NPN1948101
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentGeneral Lines2/29/20008/15/2000 
InactiveNon ResidentAgentProperty8/15/200011/30/2013 
InactiveNon ResidentAgentCasualty8/15/200011/30/2013 
* 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
Inactive21st Century North America Insurance Company300884Agent - Casualty6/3/20103/11/2013
Inactive21st Century North America Insurance Company300884Agent - Property6/3/20103/11/2013
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/15/20001/9/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - General Lines2/29/20008/15/2000
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/15/20001/9/2014
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty2/18/20051/9/2014
InactiveForemost Property and Casualty Insurance Company300871Agent - Property2/18/20051/9/2014
InactiveForemost Signature Insurance Company300140Agent - Casualty2/18/20051/9/2014
InactiveForemost Signature Insurance Company300140Agent - Property2/18/20051/9/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Express Insurance Agency Inc.515334Agent - Property9/16/200211/30/2013
InactiveForemost Express Insurance Agency Inc.515334Agent - Casualty9/16/200211/30/2013

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