DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shropshire, Blair	DOIID	598652	NAIC NPN	8199596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/19/2004	11/30/2006
Inactive	Non Resident	Agent	Casualty	11/19/2004	11/30/2006
Inactive	Non Resident	Agent	Life	11/19/2004	11/30/2006
Inactive	Non Resident	Agent	Property	11/19/2004	11/30/2006
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/23/2005	1/6/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/23/2005	1/6/2006
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/23/2005	1/6/2006
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/23/2005	1/6/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	K & K Insurance Group Inc	513466	Agent - Health	2/23/2005	1/6/2006
Inactive	K & K Insurance Group Inc	513466	Agent - Casualty	2/23/2005	1/6/2006
Inactive	K & K Insurance Group Inc	513466	Agent - Property	2/23/2005	1/6/2006