DEPARTMENT OF INSURANCE

Name	Vandijk, Patricia Bolte	DOIID	751377	NAIC NPN	16185573

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	4/4/2011	11/30/2018
Inactive	Non Resident	Agent	Casualty	4/4/2011	11/30/2018

*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	7755 Paragon Rd Ste 100 Dayton, OH 454594052

Phone Information

Type	Phone
Business / Home Office	(937) 434-9090 Ext-11