DEPARTMENT OF INSURANCE
Affiliations
NamePrudential Insurance Brokerage, Inc.DOIID559506NAIC NPN662966
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty11/19/20028/14/2006 
InactiveNon ResidentAgentProperty11/19/20028/14/2006 
* 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
InactiveFederal Insurance Company301144Agent - Casualty10/18/20048/14/2006
InactiveFederal Insurance Company301144Agent - Property10/18/20048/14/2006
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty10/14/20038/14/2006
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property10/14/20038/14/2006
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/21/20038/14/2006
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/21/20038/14/2006
InactiveForemost Signature Insurance Company300140Agent - Casualty5/21/200312/1/2003
InactiveForemost Signature Insurance Company300140Agent - Property5/21/200312/1/2003
InactiveGreat American Insurance Company301586Agent - Casualty8/30/20048/14/2006
InactiveGreat American Insurance Company301586Agent - Property8/30/20048/14/2006
InactiveLM General Insurance Company300133Agent - Casualty12/10/20028/14/2006
InactiveLM General Insurance Company300133Agent - Property12/10/20028/14/2006
InactiveLM Property and Casualty Insurance Company301658Agent - Casualty12/10/20028/14/2006
InactiveLM Property and Casualty Insurance Company301658Agent - Property12/10/20028/14/2006
InactiveLiberty Insurance Underwriters Inc.301391Agent - Casualty12/10/20028/14/2006
InactiveLiberty Insurance Underwriters Inc.301391Agent - Property12/10/20028/14/2006
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty10/14/20038/14/2006
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property10/14/20038/14/2006
InactiveLiberty Mutual Insurance Company301159Agent - Casualty10/14/20038/14/2006
InactiveLiberty Mutual Insurance Company301159Agent - Property10/14/20038/14/2006
InactiveProgressive Casualty Insurance Company300696Agent - Casualty12/30/20048/14/2006
InactiveProgressive Casualty Insurance Company300696Agent - Property12/30/20048/14/2006
InactiveProgressive Northern Insurance Company301378Agent - Casualty12/30/20048/14/2006
InactiveProgressive Northern Insurance Company301378Agent - Property12/30/20048/14/2006
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbbott, Jennifer Ann 351776Agent - Casualty2/10/20032/4/2005
InactiveAbbott, Jennifer Ann 351776Agent - Property2/10/20032/4/2005
InactiveBentley, Amy Louise 516402Agent - Casualty2/10/20032/4/2005
InactiveBentley, Amy Louise 516402Agent - Property2/10/20032/4/2005
InactiveBernstein, Allan 376311Agent - Casualty2/10/20034/3/2003
InactiveBernstein, Allan 376311Agent - Property2/10/20034/3/2003
InactiveBordy, Jason 512267Agent - Casualty2/10/20032/4/2005
InactiveBordy, Jason 512267Agent - Property2/10/20032/4/2005
InactiveBucker, Tammy 350887Agent - Casualty2/10/20035/29/2003
InactiveBucker, Tammy 350887Agent - Property2/10/20035/29/2003
InactiveCaldwell, Scott David 318608Agent - Casualty2/10/20032/4/2005
InactiveCaldwell, Scott David 318608Agent - Property2/10/20032/4/2005
InactiveChavez, Michael Paul 383481Agent - Casualty2/10/20033/23/2004
InactiveChavez, Michael Paul 383481Agent - Property2/10/20033/23/2004
InactiveDewitt, Gary Clark 383491Agent - Casualty2/10/20032/4/2005
InactiveDewitt, Gary Clark 383491Agent - Property2/10/20032/4/2005
InactiveDonley, Robert John 365761Agent - Casualty2/10/20032/4/2005
InactiveDonley, Robert John 365761Agent - Property2/10/20032/4/2005
InactiveDussault, Rebecca Ann 521392Agent - Casualty2/10/20032/4/2005
InactiveDussault, Rebecca Ann 521392Agent - Property2/10/20032/4/2005
InactiveFenton, Valerie Jean 327013Agent - Casualty2/10/20035/4/2004
InactiveFenton, Valerie Jean 327013Agent - Property2/10/20035/4/2004
InactiveFowler, Roger Wayne 363573Agent - Casualty2/10/20032/4/2005
InactiveFowler, Roger Wayne 363573Agent - Property2/10/20032/4/2005
InactiveGordon, Renee Susan 306472Agent - Casualty2/10/20032/4/2004
InactiveGordon, Renee Susan 306472Agent - Property2/10/20032/4/2004
InactiveHamana, Candace Marie 511300Agent - Casualty2/10/20032/4/2005
InactiveHamana, Candace Marie 511300Agent - Property2/10/20032/4/2005
InactiveMckeddie, Tamara Lynn 506504Agent - Casualty2/10/20032/3/2004
InactiveMckeddie, Tamara Lynn 506504Agent - Property2/10/20032/3/2004
InactiveNighswonger, Nancy A 336694Agent - Casualty2/10/20032/4/2005
InactiveNighswonger, Nancy A 336694Agent - Property2/10/20032/4/2005
InactiveStuckenschneider, Kimberly Ruth 350917Agent - Casualty2/10/20032/4/2005
InactiveStuckenschneider, Kimberly Ruth 350917Agent - Property2/10/20032/4/2005
InactiveTimmons, Brian E 574312Agent - Casualty2/4/20048/14/2006
InactiveTimmons, Brian E 574312Agent - Property2/4/20048/14/2006
InactiveTweter, Lisa Marie 324339Agent - Casualty11/19/20024/28/2004
InactiveTweter, Lisa Marie 324339Agent - Property11/19/20024/28/2004
InactiveWhittle, Andrea Michelle 304171Agent - Casualty2/10/20032/4/2005
InactiveWhittle, Andrea Michelle 304171Agent - Property2/10/20032/4/2005
InactiveWhittle, John David 337987Agent - Casualty2/10/20032/4/2005
InactiveWhittle, John David 337987Agent - Property2/10/20032/4/2005

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