DEPARTMENT OF INSURANCE

Affiliations

Name	Mothershead, Russ Allen	DOIID	930158	NAIC NPN	18049649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/22/2016	1/31/2019
Inactive	Non Resident	Agent	Property	9/22/2016	1/31/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	12152020, Inc.	540054	Agent - Casualty
Denied	12152020, Inc.	540054	Agent - Property