DEPARTMENT OF INSURANCE

Name	Church, Anita M	DOIID	322120	NAIC NPN	244489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	12/30/2009	3/1/2011
Inactive	Non Resident	Agent	Casualty	8/15/2000	2/28/2009
Inactive	Non Resident	Agent	General Lines	4/7/1999	8/15/2000
Inactive	Non Resident	Agent	Life	12/30/2009	3/1/2011
Inactive	Non Resident	Agent	Health	12/30/2009	3/1/2011
Inactive	Non Resident	Agent	Property	8/15/2000	2/28/2009

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	912 E 4th Ottumwa, IA 52501

Phone Information

Type	Phone
Business / Home Office	(641) 682-8650