DEPARTMENT OF INSURANCE

Name	Booth, Cynthia Ann	DOIID	363239	NAIC NPN	635192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	3/26/1998	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/20/2013
Inactive	Non Resident	Agent	Property	8/15/2000	5/20/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/17/2004	12/18/2012

*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
Business / Home Office	1751 Wexford Way Vienna, VA 221822151
Residence	Not Public Information

Internet Information

Type	Address
Business Email	cybooth@hanover.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(703) 880-3852