DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Etcheberria Ii, Dominic Joseph	DOIID	720316	NAIC NPN	15483961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/29/2009		9/30/2024
Active	Non Resident	Agent	Casualty	12/29/2009		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National Casualty Company	301483	Agent - Casualty	3/24/2010
Active	National Casualty Company	301483	Agent - Property	3/24/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	DVM Insurance Agency	636779	Agent - Casualty	4/24/2014
Active	DVM Insurance Agency	636779	Agent - Property	4/24/2014