DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	O Toole-Mizeres, Colleen T	DOIID	748628	NAIC NPN	1752054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/22/2011	1/31/2014
Inactive	Non Resident	Agent	Property	2/22/2011	1/31/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/13/2011	9/10/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/13/2011	9/10/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/13/2011	9/10/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/13/2011	9/10/2013
Inactive	Titan Indemnity Company	300556	Agent - Casualty	5/5/2011	8/12/2013
Inactive	Titan Indemnity Company	300556	Agent - Property	5/5/2011	8/12/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/5/2011	8/12/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/5/2011	8/12/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agent's Choice Inc., An Insurance Agency	502274	Agent - Property	9/28/2011	9/10/2013
Inactive	Agent's Choice Inc., An Insurance Agency	502274	Agent - Casualty	9/28/2011	9/10/2013