DEPARTMENT OF INSURANCE

Name	Smith, Mary Ann	DOIID	525049	NAIC NPN	4208545

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/25/2001	6/30/2005
Inactive	Non Resident	Agent	Casualty	4/18/2001	6/30/2005
Inactive	Non Resident	Agent	Life	10/25/2001	6/30/2005
Inactive	Non Resident	Agent	Property	4/18/2001	6/30/2005

*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
Mailing	1400 Turbine Dr Rapid City, SD 57703
Business / Home Office	1400 Turbine Dr Rapid City, SD 57703

Phone Information

Type	Phone
Business / Home Office	(605) 355-7000 Ext-55353
Fax	(605) 355-7274