Individual Information

MIKE L MCCULLOUGH

LAS VEGAS, NV 89110

Active

mogvegas@yahoo.com

11/18/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Motor Club Agent/Agency	63232	05/03/2000	Active	03/29/2023	03/31/2026
Res. Producer/Producer Firm	63231	10/01/2001	Active	10/01/2001	05/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	09/24/2013	Active	09/24/2013
Life	09/24/2013	Active	09/24/2013
Motor Club	05/03/2000	Active	03/29/2023
Property	10/01/2001	Active	10/01/2001
Casualty	11/18/1999	Inactive	10/01/2001
Casualty	05/24/2001	Inactive	10/01/2001
Property	11/18/1999	Inactive	10/01/2001
Property	05/24/2001	Inactive	10/01/2001
Surety	04/20/2000	Inactive	01/01/2020
Surety	05/24/2001	Inactive	01/01/2020
Surety	10/01/2001	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
13018
AMERICAN ACCESS CASUALTY COMPANY	Casualty	Active	09/19/2022
	Property	Active	09/19/2022
201
Company Name	Appointment Type	Status	Active Date
DAIRYLAND INSURANCE COMPANY	Casualty	Active	04/12/2000
	Property	Active	04/12/2000
245
Company Name	Appointment Type	Status	Active Date
FINANCIAL INDEMNITY COMPANY	Casualty	Active	09/18/2022
	Property	Active	09/18/2022
13982
Company Name	Appointment Type	Status	Active Date
MENDAKOTA INSURANCE COMPANY	Casualty	Active	07/01/2004
	Property	Active	07/01/2004
14475
Company Name	Appointment Type	Status	Active Date
PRIMERO INSURANCE COMPANY	Casualty	Active	10/09/2023
	Property	Active	10/09/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	05/29/2020
	Property	Active	05/29/2020
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	01/15/2021
	Property	Active	01/15/2021
154909
Company Name	Appointment Type	Status	Active Date
TREXIS INSURANCE CORPORATION	Casualty	Active	08/02/2023
	Property	Active	08/02/2023
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019

row(s) 1 - 20 of 20

Organization	Association Type	Type	Beg dte	End dte
MONTERREY INSURANCE SERVICE INC	Designated Resp Lic Prdcr	Agency	11/17/2020	-

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