DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Miriam	DOIID	841853	NAIC NPN	2011441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/29/2014	8/31/2021
Inactive	Non Resident	Agent	Property	5/29/2014	8/31/2021
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	7/15/2014	11/18/2015
Inactive	Rural Community Insurance Company	301891	Agent - Property	7/15/2014	11/18/2015

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 Florida Inc	652212	Agent - Property	11/18/2015	11/18/2015
Inactive	Willis Of Florida Inc	652212	Agent - Casualty	11/18/2015	11/18/2015