DEPARTMENT OF INSURANCE
Affiliations
NameClarke, Mia RacquelDOIID971496NAIC NPN18556391
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty10/7/20171/31/2023 
InactiveNon ResidentAgentCasualty10/7/20171/31/2023 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/27/20221/31/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/27/20221/31/2023
InactiveSafe Auto Insurance Company300419Agent - Casualty10/31/201711/24/2021
InactiveSafe Auto Insurance Company300419Agent - Property10/31/201711/24/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty10/21/202111/24/2021
InactiveDirect General Insurance Agency Inc1018980Agent - Property10/21/202111/24/2021
InactiveNational General Ins Marketing Inc621228Agent - Casualty10/20/202111/24/2021
InactiveNational General Ins Marketing Inc621228Agent - Property10/20/202111/24/2021
InactiveRight Choice Ins Agency Inc620070Agent - Casualty10/21/202111/24/2021
InactiveRight Choice Ins Agency Inc620070Agent - Property10/21/202111/24/2021
InactiveSafe Auto Group Agency Inc557065Agent - Casualty11/1/201711/24/2021
InactiveSafe Auto Group Agency Inc557065Agent - Property11/1/201711/24/2021

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