DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Timothy	DOIID	537151	NAIC NPN	4782044

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/8/2010	6/30/2018
Inactive	Non Resident	Agent	Property	6/8/2010	6/30/2018
* 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	Medical Protective Company (The)	301207	Agent - Casualty	6/23/2010	6/30/2018
Inactive	Medical Protective Company (The)	301207	Agent - Property	6/23/2010	6/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MedPro Insurance Services, LLC	581478	Agent - Casualty	11/8/2010	6/30/2018
Inactive	MedPro Insurance Services, LLC	581478	Agent - Property	11/8/2010	6/30/2018