DEPARTMENT OF INSURANCE

Affiliations

Name	Bak, Susan M	DOIID	314299	NAIC NPN	7162191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Public	6/21/1993	3/31/1996
* 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
Inactive	Federated Department Stores Inc.	401150	Adjuster - Public	6/21/1993	3/31/1996