DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Mark Adam	DOIID	1120907	NAIC NPN	7653374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/16/2021	6/30/2022
Inactive	Non Resident	Agent	Casualty	2/16/2021	6/30/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	8/25/2023		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Delta Defense LLC	982519	Agent - Casualty
Denied	Delta Defense LLC	982519	Agent - Property