DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Patricia Marion	DOIID	676308	NAIC NPN	2543469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/14/2008	3/8/2017
Inactive	Non Resident	Agent	Property	3/26/2008	3/8/2017
* 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	Great American Assurance Company	300327	Agent - Casualty	7/18/2008	3/8/2017
Inactive	Great American Assurance Company	300327	Agent - Property	7/18/2008	3/8/2017
Inactive	Great West Casualty Company	301015	Agent - Casualty	4/29/2008	11/3/2016
Inactive	Great West Casualty Company	301015	Agent - Property	4/29/2008	11/3/2016
Inactive	Western Surety Company	300283	Agent - Casualty	3/17/2009	12/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Republic Capital Corporation	398822	Agent - Casualty	8/12/2009	3/8/2017
Inactive	Republic Capital Corporation	398822	Agent - Property	8/12/2009	3/8/2017