DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dominguez, Adriana Patricia	DOIID	1055768	NAIC NPN	8684356

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/11/2019		1/31/2026
Active	Non Resident	Agent	Casualty	9/11/2019		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National Casualty Company	301483	Agent - Casualty	9/12/2019
Active	National Casualty Company	301483	Agent - Property	9/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	DVM Insurance Agency	636779	Agent - Casualty	9/12/2019
Active	DVM Insurance Agency	636779	Agent - Property	9/12/2019