MICHAEL LEE BROCK

Agent ID:	9600056
National Producer ID:	6398596
Mailing Address:	706 HIGHWAY 45 N
	COLUMBUS, MS 39701
Resident State:	MS
Phone:	662-328-9555

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	10/27/2009	5/31/2025
Surplus Lines Ins	Active	6/11/2014	5/31/2024

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	1/1/2000
Casualty	10/27/2009
Life	1/1/2000
Property	10/27/2009

Agent Appointments

11 Records Found

License Number	Company Name	Issue Date
7700537	ACE Property and Casualty Insurance Company	1/1/2001
1600018	American Family Life Assurance Company of Columbus	4/1/2018
8700013	American Modern Property and Casualty Insurance Company	5/14/2020
1400002	American Strategic Insurance Corp.	4/25/2017
0400029	Coast National Insurance Company	10/19/2010
7700732	Foremost Insurance Company Grand Rapids, Michigan	5/31/2006
8100177	Progressive Gulf Insurance Company	8/3/2005
7700640	Shelter General Insurance Company	6/1/2000
7700290	Shelter Life Insurance Company	9/23/2002
7700778	Shelter Mutual Insurance Company	6/1/2000
9000044	Viking Insurance Company of Wisconsin	12/7/2009