DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fish, Paul Douglas	DOIID	566841	NAIC NPN	7129632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/5/2006	8/31/2012
Inactive	Non Resident	Agent	Property	4/5/2006	8/31/2012
* 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	Midwest Employers Casualty Company	300124	Agent - Casualty	4/20/2006	8/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Services Brokerage, Inc	640893	Agent - Casualty	9/25/2006	7/2/2012
Denied	Brentwood Services Brokerage, Inc	640893	Agent - Property
Inactive	Brentwood Services, Inc.	547613	Agent - Casualty	5/3/2006	1/17/2008
Denied	Brentwood Services, Inc.	547613	Agent - Property