DEPARTMENT OF INSURANCE
Affiliations
NameWillis, Jacob DOIID765818NAIC NPN16279399
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines1/4/201211/16/2012 
* 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
InactiveNationwide Mutual Insurance Company301749Agent - Personal Lines1/11/201211/14/2012
InactiveProgressive Casualty Insurance Company300696Agent - Personal Lines5/1/201211/12/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide Sales Solutions Inc631821Agent - Personal Lines1/18/201211/14/2012

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