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DEPARTMENT OF INSURANCE
Affiliations
Name
Carlson, Polly Jo
DOIID
718997
NAIC NPN
15291820
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Personal Lines
12/22/2009
12/20/2010
Inactive
Non Resident
Staff Adjuster
Property & Casualty
4/29/2011
2/28/2015
* 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
Nationwide Mutual Insurance Company
301749
Agent - Personal Lines
1/13/2010
12/20/2010
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Personal Lines
1/15/2010
12/20/2010
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