DEPARTMENT OF INSURANCE

Affiliations

Name	Gostomski, Kristine Kay	DOIID	980816	NAIC NPN	17186935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/5/2018	4/30/2023
Inactive	Non Resident	Agent	Casualty	1/5/2018	4/30/2023
* 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
Denied	Delta Defense LLC	982519	Agent - Property
Denied	Delta Defense LLC	982519	Agent - Casualty