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DEPARTMENT OF INSURANCE
Affiliations
Name
Gordon, Staci
DOIID
928467
NAIC NPN
18099842
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
9/13/2016
10/31/2018
Inactive
Non Resident
Agent
Casualty
9/13/2016
10/31/2018
* 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
Dairyland Insurance Company
301370
Agent - Casualty
9/21/2016
12/2/2016
Inactive
Dairyland Insurance Company
301370
Agent - Property
9/21/2016
12/2/2016
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
9/28/2016
11/23/2016
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
9/28/2016
11/23/2016
Inactive
National General Insurance Company
300152
Agent - Casualty
9/14/2016
10/17/2016
Inactive
National General Insurance Company
300152
Agent - Property
9/14/2016
10/17/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Affinity Brokerage, LLC
544886
Agent - Property
10/3/2016
10/4/2016
Inactive
Affinity Brokerage, LLC
544886
Agent - Casualty
10/3/2016
10/4/2016
Inactive
CWI, LLC
662170
Agent - Property
10/3/2016
10/4/2016
Inactive
CWI, LLC
662170
Agent - Casualty
10/3/2016
10/4/2016
Inactive
Camping World Insurance Services of Kentucky, LLC
663187
Agent - Property
10/3/2016
10/4/2016
Inactive
Camping World Insurance Services of Kentucky, LLC
663187
Agent - Casualty
10/3/2016
10/4/2016
Inactive
National General Ins Marketing Inc
621228
Agent - Property
9/14/2016
10/17/2016
Inactive
National General Ins Marketing Inc
621228
Agent - Casualty
9/14/2016
10/17/2016
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