DEPARTMENT OF INSURANCE

Name	Dixon, Mary Carol	DOIID	562775	NAIC NPN	7547019

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Administrator	Not Applicable	12/12/2002	6/30/2007

*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	10900 Hampshire Ave Bloomington, MN 554383882
Mailing	CBCA Administrators, Inc. 10900 Hampshire AvenueBloomington, MN 554383882
Residence	Not Public Information

Internet Information

Type	Address
Business Email	mary_dixon@cbca.com

Phone Information

Type	Phone
Business / Home Office	(952) 829-3500