DEPARTMENT OF INSURANCE
Affiliations
NameDougherty, Michael TimothyDOIID723368NAIC NPN15668754
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty2/23/20106/6/2012 
InactiveNon ResidentAgentCasualty2/23/20106/6/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRiverStone International Insurance, Inc.301758Agent - Casualty3/2/20106/2/2012
InactiveRiverStone International Insurance, Inc.301758Agent - Property3/2/20106/2/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRiverStone Internation U.S., LLC521813Agent - Casualty3/8/20106/2/2012
InactiveRiverStone Internation U.S., LLC521813Agent - Property3/8/20106/2/2012

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