DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kwiatkowski, Mark Raymond	DOIID	325397	NAIC NPN	1888900

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	6/3/1999	7/8/1999
Inactive	Non Resident	Independent Adjuster	Property & Casualty	5/31/2001	7/1/2010
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	08/15/2024	10/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Monroe Guaranty Insurance Company	300771	Staff Adjuster - Property & Casualty	9/23/2013
Inactive	Ohio Farmers Insurance Company	301667	Independent Adjuster - Property & Casualty	5/31/2001	7/1/2010
Active	Ohio Farmers Insurance Company	301667	Staff Adjuster - Property & Casualty	7/1/2010

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prunty, Raymond P	302958	Apprentice Adjuster - Not Applicable	6/3/1999	7/8/1999