DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Mark Allen	DOIID	366149	NAIC NPN	7198579

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/29/1994	10/2/1998
Active	Non Resident	Staff Adjuster	Property & Casualty	12/13/2018		10/31/2025
* 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	Tenco Services Inc.	401312	Adjuster - Independent	3/29/1994	10/2/1998