DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern, Dominique L	DOIID	908299	NAIC NPN	17063692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/29/2016	4/22/2020
Inactive	Non Resident	Agent	Property	2/29/2016	4/22/2020
* 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	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	5/24/2017	3/11/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	5/24/2017	3/11/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/8/2016	11/9/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/8/2016	11/9/2016
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	5/24/2017	3/11/2019
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	5/24/2017	3/11/2019
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	5/24/2017	3/11/2019
Inactive	USAA General Indemnity Company	300131	Agent - Property	5/24/2017	3/11/2019
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/24/2017	3/11/2019
Inactive	United Services Automobile Association	300158	Agent - Property	5/24/2017	3/11/2019

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 - Property	3/15/2016	11/9/2016
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	3/15/2016	11/9/2016