DEPARTMENT OF INSURANCE
Affiliations
NameId Agency IncDOIID754887NAIC NPN2213033
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty6/5/20173/1/2021 
InactiveNon ResidentAgentCasualty6/5/20173/1/2021 
* 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
InactiveGrange Indemnity Insurance Company300793Agent - Property5/25/20113/31/2017
InactiveGrange Insurance Company300234Agent - Property5/25/20113/31/2017
InactiveGrange Property & Casualty Insurance Company601680Agent - Property5/25/20113/31/2017
InactiveTrustgard Insurance Company300104Agent - Property5/25/20113/31/2017
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarson, Andrew J 754553Agent - Casualty6/5/201712/31/2020
InactiveCarson, Andrew J 754553Agent - Property6/5/201712/31/2020

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