DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ippisch, Timothy	DOIID	504052	NAIC NPN	3238100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/23/2015	2/21/2018
Inactive	Non Resident	Agent	Health	1/23/2015	2/21/2018
* 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	Northwestern Mutual Life Insurance Company	300931	Agent - Health	1/26/2015	2/22/2016
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	1/26/2015	2/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Raymond James Insurance Group, Inc.	398342	Agent - Life
Denied	Raymond James Insurance Group, Inc.	398342	Agent - Health