DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Patricia A. Dillard Insurance Agency, Inc.	DOIID	539504	NAIC NPN	7223407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	10/23/2001	3/31/2015
Inactive	Resident	Agent	Life	10/23/2001	3/31/2015
Inactive	Resident	Agent	Casualty	10/23/2001	3/31/2015
Inactive	Resident	Agent	Health	10/23/2001	3/31/2015
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/23/2001	12/12/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/23/2001	12/12/2013
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/23/2001	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	10/23/2001	11/16/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/23/2001	12/12/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/23/2001	12/12/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/23/2001	12/12/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dillard, Patricia Ann	355158	Agent - Casualty	10/23/2001	12/12/2013
Inactive	Dillard, Patricia Ann	355158	Agent - Health	10/23/2001	12/12/2013
Inactive	Dillard, Patricia Ann	355158	Agent - Life	10/23/2001	12/12/2013
Inactive	Dillard, Patricia Ann	355158	Agent - Property	10/23/2001	12/12/2013
Inactive	Driver, Donna Renee	635873	Agent - Casualty	1/29/2007	3/31/2015
Inactive	Driver, Donna Renee	635873	Agent - Health	1/29/2007	3/31/2015
Inactive	Driver, Donna Renee	635873	Agent - Life	1/29/2007	3/31/2015
Inactive	Driver, Donna Renee	635873	Agent - Property	1/29/2007	3/31/2015
Inactive	Duffer, Sarah Thomas	594506	Agent - Casualty	1/29/2007	3/31/2015
Inactive	Duffer, Sarah Thomas	594506	Agent - Health	1/29/2007	3/31/2015
Inactive	Duffer, Sarah Thomas	594506	Agent - Life	1/29/2007	3/31/2015
Inactive	Duffer, Sarah Thomas	594506	Agent - Property	1/29/2007	3/31/2015
Inactive	Tatum, Melanie June	513805	Agent - Casualty	1/12/2004	6/30/2005
Inactive	Tatum, Melanie June	513805	Agent - Health	1/12/2004	7/1/2006
Inactive	Tatum, Melanie June	513805	Agent - Life	1/12/2004	6/30/2005
Inactive	Tatum, Melanie June	513805	Agent - Property	1/12/2004	6/30/2005