DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Amanda Nicole	DOIID	840363	NAIC NPN	17260743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/8/2014	11/30/2018
Inactive	Non Resident	Agent	Property	5/8/2014	11/30/2018
* 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	National Casualty Company	301483	Agent - Casualty	5/30/2014	5/8/2018
Inactive	National Casualty Company	301483	Agent - Property	5/30/2014	5/8/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	5/30/2014	5/8/2018
Inactive	DVM Insurance Agency	636779	Agent - Casualty	5/30/2014	5/8/2018