DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Csitkovits, Jose	DOIID	726427	NAIC NPN	15722593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/11/2015	10/31/2018
Inactive	Non Resident	Agent	Personal Lines	4/13/2010	10/31/2014
Inactive	Non Resident	Agent	Casualty	3/11/2015	10/31/2018
Inactive	Non Resident	Agent	Life	6/5/2015	10/31/2018
* 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 - Casualty	3/16/2015	12/8/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	4/29/2010	4/9/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/16/2015	12/8/2017

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	5/17/2010	3/19/2013
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	3/17/2015	12/8/2017
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	3/17/2015	12/8/2017
Denied	Nationwide Sales Solutions Inc	631821	Agent - Life