DEPARTMENT OF INSURANCE

Name	Lewis, David M	DOIID	382256	NAIC NPN	7205542

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	12/20/2004	7/1/2010
Inactive	Non Resident	Agent	Credit Life & Health	4/10/1996	12/2/1996
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/2/2004	12/20/2004
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	12/31/2015

*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	American Modern Insurance Group 7000 Midland Blvd PO Box 5323Amelia, OH 45102
Residence	Not Public Information

Internet Information

Type	Address
Business Email	dlewis@amig.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(513) 947-5610