DEPARTMENT OF INSURANCE

Affiliations

Name	Wilpiszeski, Thomas Michael	DOIID	828920	NAIC NPN	9663678

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	2/7/2019		3/31/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	12/5/2013	2/11/2019
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	2/16/2019	3/11/2024