DEPARTMENT OF INSURANCE
Affiliations
NameHageman, Ross DOIID768681NAIC NPN16377840
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines11/11/201111/5/2014 
InactiveNon ResidentAgentLife8/22/201311/5/2014 
* 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 Life Insurance Company300495Agent - Life9/17/201311/5/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life9/17/201311/5/2014
InactiveNationwide Mutual Insurance Company301749Agent - Personal Lines12/6/20115/21/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide Sales Solutions Inc631821Agent - Personal Lines12/14/20115/15/2014
InactiveNationwide Sales Solutions Inc631821Agent - Life9/17/20135/15/2014

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