DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, David Scott	DOIID	594407	NAIC NPN	8208370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	3/7/2008	12/22/2009
Inactive	Resident	Agent	Casualty	3/7/2008	12/22/2009
* 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	Dairyland Insurance Company	301370	Agent - Casualty	3/18/2008	11/5/2009
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/18/2008	11/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Security Auto Insurance, Inc.	626632	Agent - Casualty	3/18/2008	11/5/2009
Inactive	Security Auto Insurance, Inc.	626632	Agent - Property	3/18/2008	11/5/2009