DEPARTMENT OF INSURANCE
Affiliations
NameDolezal, Michael DOIID736415NAIC NPN15933084
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty9/7/20109/26/2016 
InactiveNon ResidentAgentProperty9/7/20109/26/2016 
* 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
InactiveLiberty Insurance Underwriters Inc.301391Agent - Casualty2/7/20139/26/2016
InactiveLiberty Insurance Underwriters Inc.301391Agent - Property2/7/20139/26/2016
InactiveLiberty Mutual Insurance Company301159Agent - Casualty3/17/20119/26/2016
InactiveLiberty Mutual Insurance Company301159Agent - Property3/17/20119/26/2016
InactiveOld Republic General Insurance Corporation300949Agent - Casualty1/25/20123/19/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAsurion Insurance Services Inc509331Agent - Property3/24/20119/26/2016
InactiveAsurion Insurance Services Inc509331Agent - Casualty3/24/20119/26/2016
InactiveAsurion Protection Services, LLC.545067Agent - Property3/15/20139/26/2016
InactiveAsurion Protection Services, LLC.545067Agent - Casualty3/15/20139/26/2016

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