DEPARTMENT OF INSURANCE
Affiliations
NameBeltline Road Insurance Agency, IncDOIID688439NAIC NPN11430541
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty9/8/20082/4/2015 
InactiveNon ResidentAgentCasualty9/8/20082/4/2015 
InactiveNon ResidentAgentLife9/8/20082/4/2015 
InactiveNon ResidentAgentHealth6/2/20102/4/2015 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty12/15/20094/8/2013
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property12/15/20094/8/2013
InactiveAmerican Reliable Insurance Company301889Agent - Casualty11/19/20083/13/2010
InactiveAmerican Reliable Insurance Company301889Agent - Property11/19/20083/13/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Life12/19/20088/29/2012
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health12/27/20122/4/2015
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/30/20082/4/2015
InactiveUnion Security Insurance Company301844Agent - Life12/2/20094/8/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMadison, Guy Lorenzo 653545Agent - Casualty2/28/201312/2/2013
InactiveMadison, Guy Lorenzo 653545Agent - Health2/28/201312/2/2013
InactiveMadison, Guy Lorenzo 653545Agent - Life2/28/201312/2/2013
InactiveMadison, Guy Lorenzo 653545Agent - Property2/28/201312/2/2013
InactiveMusgraves, Sarah Luella 766600Agent - Casualty11/22/20112/28/2013
InactiveMusgraves, Sarah Luella 766600Agent - Health11/22/20112/28/2013
InactiveMusgraves, Sarah Luella 766600Agent - Life11/22/20112/28/2013
InactiveMusgraves, Sarah Luella 766600Agent - Property11/22/20112/28/2013
InactiveOglesby, Peter Scott 814536Agent - Casualty12/2/20132/4/2015
InactiveOglesby, Peter Scott 814536Agent - Health12/2/20132/4/2015
InactiveOglesby, Peter Scott 814536Agent - Life12/2/20132/4/2015
InactiveOglesby, Peter Scott 814536Agent - Property12/2/20132/4/2015
InactiveWenzel, Perry Jay 620936Agent - Casualty9/8/20084/28/2009
InactiveWenzel, Perry Jay 620936Agent - Life9/8/20084/28/2009
InactiveWenzel, Perry Jay 620936Agent - Property9/8/20084/28/2009
InactiveWilliston, Toni G 701962Agent - Casualty5/22/200911/14/2011
InactiveWilliston, Toni G 701962Agent - Health6/2/201011/14/2011
InactiveWilliston, Toni G 701962Agent - Life5/14/200911/14/2011
InactiveWilliston, Toni G 701962Agent - Property5/22/200911/14/2011

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