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DEPARTMENT OF INSURANCE
Affiliations
Name
Green, Roy
DOIID
664858
NAIC NPN
9655025
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Personal Lines
9/27/2007
7/31/2019
Inactive
Non Resident
Agent
Health
3/7/2013
7/31/2019
Inactive
Non Resident
Agent
Life
1/2/2013
7/31/2019
Inactive
Non Resident
Agent
Casualty
12/19/2009
7/31/2019
Inactive
Non Resident
Agent
Property
12/19/2009
7/31/2019
* 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 Life Insurance Company
300495
Agent - Health
7/13/2016
5/23/2019
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/13/2016
5/23/2019
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
7/13/2016
5/23/2019
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/13/2016
5/23/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
2/24/2010
5/23/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Personal Lines
11/6/2007
2/24/2010
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
2/24/2010
5/23/2019
Inactive
Progressive Casualty Insurance Company
300696
Agent - Personal Lines
11/20/2007
7/16/2019
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
11/6/2007
7/16/2019
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Property
2/24/2010
5/23/2019
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Casualty
2/24/2010
5/23/2019
Denied
Nationwide Sales Solutions Inc
631821
Agent - Life
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