DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lacrosse, Savana	DOIID	967949	NAIC NPN	18532450

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/15/2017	9/30/2023
Inactive	Non Resident	Agent	Casualty	9/15/2017	9/30/2023
* 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	9/19/2017	9/9/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/19/2017	9/9/2022
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	9/19/2017	9/9/2022
Inactive	Sentry Select Insurance Company	301648	Agent - Property	9/19/2017	9/9/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker Stevens Agency LLC	558419	Agent - Property	1/7/2022	9/9/2022
Inactive	Parker Stevens Agency LLC	558419	Agent - Casualty	1/7/2022	9/9/2022