DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Laquieta Jeanine	DOIID	678254	NAIC NPN	7429538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/11/2008	3/31/2015
Inactive	Non Resident	Agent	Casualty	4/11/2008	3/31/2015
* 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	Central States Indemnity Company of Omaha	300285	Agent - Casualty	9/1/2009	8/28/2013
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	9/1/2009	8/28/2013
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	5/13/2008	3/31/2015
Inactive	New Hampshire Insurance Company	301670	Agent - Property	5/13/2008	3/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Purinacare Insurance Services Inc	675775	Agent - Property	5/13/2008	5/16/2013
Inactive	Purinacare Insurance Services Inc	675775	Agent - Casualty	5/13/2008	5/16/2013