DEPARTMENT OF INSURANCE

Affiliations

Name	O'Brien, Douglas P	DOIID	640913	NAIC NPN	4512610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Property & Casualty Consultant	Not Applicable	9/22/2006		8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Usi Insurance Services LLC	669260	Property & Casualty Consultant - Not Applicable	1/8/2019