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DEPARTMENT OF INSURANCE
Affiliations
Name
Madsen, Jacob Leigh
DOIID
802917
NAIC NPN
16880525
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Personal Lines
2/4/2013
9/30/2015
* 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 - Personal Lines
2/8/2013
5/27/2014
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 - Personal Lines
2/8/2013
5/27/2014
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