DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Stacie Lee	DOIID	556211	NAIC NPN	7401392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/4/2002	7/31/2009
Inactive	Non Resident	Agent	Casualty	10/4/2002	7/31/2009
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/28/2002	7/15/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/28/2002	7/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	8/5/2003	7/15/2008
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	8/5/2003	7/15/2008