DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burrola, Melissa	DOIID	894060	NAIC NPN	17723984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/5/2015	12/19/2019
Inactive	Non Resident	Agent	Casualty	10/5/2015	12/19/2019
* 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	National Casualty Company	301483	Agent - Casualty	10/9/2015	6/18/2019
Inactive	National Casualty Company	301483	Agent - Property	10/9/2015	6/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Casualty	10/9/2015	6/18/2019
Inactive	DVM Insurance Agency	636779	Agent - Property	10/9/2015	6/18/2019