DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Atencio, Leslie Ann	DOIID	736985	NAIC NPN	15941324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/16/2010	2/26/2013
Inactive	Non Resident	Agent	Casualty	9/16/2010	2/26/2013
* 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	12/30/2010	8/30/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	12/30/2010	8/30/2011

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 - Property	1/19/2011	8/30/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/19/2011	8/30/2011