DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Alicia Carol	DOIID	744538	NAIC NPN	6735161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/15/2010	1/13/2017
Inactive	Non Resident	Agent	Casualty	12/15/2010	1/13/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/15/2010	1/13/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Arizona Inc	511502	Agent - Property	5/13/2011	1/13/2017
Inactive	Willis Of Arizona Inc	511502	Agent - Casualty	5/13/2011	1/13/2017
Inactive	Willis Of Arizona Inc	511502	Surplus Lines Broker - Not Applicable	5/13/2011	8/18/2016