DEPARTMENT OF INSURANCE
Affiliations
NameRay, Santrisa EmmaleneDOIID573184NAIC NPN7611266
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty7/23/20038/30/2016 
InactiveNon ResidentAgentCasualty7/23/20038/30/2016 
ActiveNon ResidentStaff AdjusterProperty & Casualty6/17/2024 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Staff Adjuster10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide General Insurance Company300603Agent - Casualty5/12/20058/7/2008
InactiveNationwide General Insurance Company300603Agent - Property5/12/20058/7/2008
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty10/29/20038/7/2008
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property10/29/20038/7/2008
InactiveNationwide Mutual Insurance Company301749Agent - Casualty10/29/20038/30/2016
InactiveNationwide Mutual Insurance Company301749Agent - Property10/29/20038/30/2016
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty10/29/20038/7/2008
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property10/29/20038/7/2008
InactiveProgressive Casualty Insurance Company300696Agent - Casualty4/17/20128/30/2016
InactiveProgressive Casualty Insurance Company300696Agent - Property4/17/20128/30/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide Sales Solutions Inc631821Agent - Casualty5/8/20078/30/2016
InactiveNationwide Sales Solutions Inc631821Agent - Property5/8/20078/30/2016

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