DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Michelle Lee	DOIID	722171	NAIC NPN	9667845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	3/3/2010	12/31/2013
Inactive	Resident	Agent	Property	3/3/2010	12/31/2013
Inactive	Resident	Agent	Life	3/3/2010	12/31/2013
Inactive	Resident	Agent	Health	3/5/2010	12/31/2013
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/30/2012	10/11/2013
Inactive	Resident	Staff Adjuster	Property & Casualty	10/11/2013	12/31/2015
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/3/2010	9/14/2012
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/3/2010	9/14/2012
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	3/3/2010	11/19/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	3/3/2010	11/19/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	3/3/2010	9/14/2012
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/3/2010	9/14/2012
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	3/5/2010	9/14/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Casualty Insurance Company	300696	Apprentice Adjuster - Not Applicable	10/9/2013	10/11/2013

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hillenbrand, Amy K	541326	Apprentice Adjuster - Not Applicable	11/30/2012	10/11/2013