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DEPARTMENT OF INSURANCE
Affiliations
Name
Keopraseuth, Phouthavong
DOIID
858221
NAIC NPN
17405950
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Personal Lines
10/27/2014
1/5/2017
* 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
11/13/2014
7/16/2016
Inactive
Progressive Casualty Insurance Company
300696
Agent - Personal Lines
11/14/2014
8/8/2016
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
11/13/2014
8/8/2016
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