DEPARTMENT OF INSURANCE

Affiliations

Name	Wieczorek, David F	DOIID	516183	NAIC NPN	7215256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	3/28/2001	11/22/2001
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	10/24/2000	3/28/2001
* 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	SAFECO Insurance Company of America	300159	Adjuster - Independent	3/28/2001	10/22/2001