DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Donna Roach	DOIID	651786	NAIC NPN	9106711

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	3/20/2007	5/3/2019
* 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 Assurance Company	300166	Agent - Personal Lines	4/18/2007	7/15/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Personal Lines	4/18/2007	7/15/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	4/18/2007	9/26/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Personal Lines	4/18/2007	7/15/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Personal Lines	4/18/2007	7/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	5/10/2007	9/26/2018