DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Erik	DOIID	973430	NAIC NPN	16973303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/19/2017		11/30/2025
Active	Non Resident	Agent	Property	10/19/2017		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National Casualty Company	301483	Agent - Casualty	10/20/2017
Active	National Casualty Company	301483	Agent - Property	10/20/2017

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 - Property	11/4/2017
Active	DVM Insurance Agency	636779	Agent - Casualty	11/4/2017