DEPARTMENT OF INSURANCE
Affiliations
NamePatty, Domenick EugeneDOIID935025NAIC NPN18151549
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines10/31/20166/30/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Personal Lines11/8/20166/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Express Insurance Agency Inc.515334Agent - Personal Lines6/6/20181/14/2019
InactiveFx Insurance Agency, LLC646184Agent - Personal Lines1/14/20196/30/2021

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