DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson Jr, Theron Q	DOIID	564828	NAIC NPN	3892991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/21/2008	9/30/2015
Inactive	Non Resident	Agent	Property	8/21/2008	9/30/2015
Inactive	Non Resident	Staff Adjuster	Property & Casualty	1/26/2017	9/30/2019
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	9/16/2013	5/20/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	9/16/2013	5/20/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/22/2015	9/30/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/22/2015	9/30/2015
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	5/5/2009	9/10/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	5/5/2009	9/10/2013
Inactive	Esurance Insurance Company	301072	Agent - Casualty	10/31/2013	5/15/2015
Inactive	Esurance Insurance Company	301072	Agent - Property	10/31/2013	5/15/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/2/2008	7/19/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/2/2008	7/19/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	5/14/2009	9/13/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	5/14/2009	9/13/2013
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/24/2003	9/22/2006
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/24/2003	9/22/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/5/2008	10/17/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/5/2008	10/17/2013
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	2/24/2003	9/22/2006
Inactive	Liberty Insurance Corporation	300444	Agent - Property	2/24/2003	9/22/2006
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/24/2003	9/22/2006
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/24/2003	9/22/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/2/2008	7/19/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/2/2008	7/19/2013
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/5/2009	9/10/2013
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/5/2009	9/10/2013
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/15/2011	9/10/2013
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/15/2011	9/10/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/26/2013	5/19/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/26/2013	5/19/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/26/2013	5/19/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/26/2013	5/19/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	9/27/2013	6/26/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	9/27/2013	6/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	9/21/2009	9/14/2011
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	9/21/2009	9/14/2011
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	3/25/2009	9/12/2013
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	3/25/2009	9/12/2013
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Casualty	9/17/2013	5/15/2015
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Property	9/17/2013	5/15/2015