DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Mark S	DOIID	826359	NAIC NPN	6767920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/31/2013	10/31/2018
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	10/31/2013	10/31/2018
Inactive	Non Resident	Independent Adjuster	Crop	10/31/2013	10/31/2018
* 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	Crawford & Company	401229	Independent Adjuster - Property & Casualty	7/14/2015	5/19/2016
Inactive	Crawford & Company	401229	Independent Adjuster - Crop	7/14/2015	5/19/2016
Inactive	Crawford & Company	401229	Independent Adjuster - Workers' Compensation	7/14/2015	5/19/2016
Inactive	Crawford Catastrophe Services LLC	912275	Independent Adjuster - Property & Casualty	5/13/2016	10/31/2018