PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameSiatkowski, Jacquelyn DOIID1332291NAIC NPN19930548
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty3/28/20242/11/2025 
InactiveNon ResidentAgentProperty3/28/20242/11/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAGCS Marine Insurance Company300403Agent - Casualty4/30/20242/11/2025
InactiveAGCS Marine Insurance Company300403Agent - Property4/30/20242/11/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRisk Placement Services Inc509419Agent - Casualty4/30/20241/28/2025
InactiveRisk Placement Services Inc509419Agent - Property4/30/20241/28/2025

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