DEPARTMENT OF INSURANCE
Affiliations
NameGrossman, Stephanie DianeDOIID997512NAIC NPN18700966
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty6/11/201811/30/2020 
InactiveNon ResidentAgentCasualty6/11/201811/30/2020 
* 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
InactiveGeneral Casualty Company of Wisconsin300930Agent - Casualty1/8/20202/5/2020
InactiveGeneral Casualty Company of Wisconsin300930Agent - Property1/8/20202/5/2020
InactiveNorth Pointe Insurance Company301029Agent - Casualty1/8/20202/5/2020
InactiveNorth Pointe Insurance Company301029Agent - Property1/8/20202/5/2020
InactivePhiladelphia Indemnity Insurance Company301221Agent - Casualty12/7/201811/30/2020
InactivePhiladelphia Indemnity Insurance Company301221Agent - Property12/7/201811/30/2020
InactivePraetorian Insurance Company301021Agent - Casualty1/8/20202/5/2020
InactivePraetorian Insurance Company301021Agent - Property1/8/20202/5/2020
InactiveQBE Insurance Corporation300515Agent - Casualty1/8/20202/5/2020
InactiveQBE Insurance Corporation300515Agent - Property1/8/20202/5/2020
InactiveRegent Insurance Company300411Agent - Casualty1/8/20202/5/2020
InactiveRegent Insurance Company300411Agent - Property1/8/20202/5/2020
InactiveStonington Insurance Company300746Agent - Casualty1/8/20202/5/2020
InactiveStonington Insurance Company300746Agent - Property1/8/20202/5/2020
InactiveZurich American Insurance Company301121Agent - Casualty6/20/20188/26/2019
InactiveZurich American Insurance Company301121Agent - Property6/20/20188/26/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWillis Of Arizona Inc511502Agent - Casualty7/10/20183/6/2020
InactiveWillis Of Arizona Inc511502Agent - Property7/10/20183/6/2020

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