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DEPARTMENT OF INSURANCE
Affiliations
Name
Lake, Casey G
DOIID
713904
NAIC NPN
14924237
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
9/23/2009
9/5/2012
Inactive
Non Resident
Agent
Property
9/23/2009
9/5/2012
* 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
Empire Fire and Marine Insurance Company
300666
Agent - Casualty
12/2/2009
6/27/2012
Inactive
Empire Fire and Marine Insurance Company
300666
Agent - Property
12/2/2009
6/27/2012
Inactive
Fidelity and Deposit Company of Maryland
300976
Agent - Casualty
12/9/2009
6/29/2012
Inactive
Fidelity and Deposit Company of Maryland
300976
Agent - Property
12/9/2009
6/29/2012
Inactive
Praetorian Insurance Company
301021
Agent - Casualty
12/2/2009
6/27/2012
Inactive
Praetorian Insurance Company
301021
Agent - Property
12/2/2009
6/27/2012
Inactive
QBE Insurance Corporation
300515
Agent - Casualty
2/17/2011
6/27/2012
Inactive
QBE Insurance Corporation
300515
Agent - Property
2/17/2011
6/27/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
QBE First Enterprises LLC
610980
Agent - Property
12/2/2009
6/27/2012
Inactive
QBE First Enterprises LLC
610980
Agent - Casualty
12/2/2009
6/27/2012
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