DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Michael Lynn	DOIID	693849	NAIC NPN	6722443

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/17/2008	7/26/2013
Inactive	Non Resident	Agent	Casualty	11/17/2008	7/26/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/19/2008	7/26/2013
* 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	FMH Ag Risk Insurance Company	300425	Agent - Casualty	11/21/2008	7/26/2013
Inactive	FMH Ag Risk Insurance Company	300425	Agent - Property	11/21/2008	7/26/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professional Indemnity Agency Inc	636863	Agent - Casualty	12/1/2008	7/26/2013
Inactive	Professional Indemnity Agency Inc	636863	Agent - Property	12/1/2008	7/26/2013