DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Timothy Dale	DOIID	677694	NAIC NPN	10598296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	9/21/2011	12/1/2014
Inactive	Resident	Agent	Casualty	9/21/2011	12/1/2014
Withdrawn	Resident	Agent	Personal Lines
* 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
Denied	Assuredpartners NL, LLC	762387	Agent - Casualty
Denied	Assuredpartners NL, LLC	762387	Agent - Property