DEPARTMENT OF INSURANCE

Name	Harlos, Marian	DOIID	520533	NAIC NPN	1147318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/15/2004	2/28/2019
Inactive	Non Resident	Agent	Life	11/29/2011	2/28/2019
Inactive	Non Resident	Agent	Property	10/15/2004	2/28/2019
Inactive	Non Resident	Agent	Health	11/29/2011	2/28/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/17/2011	3/1/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	4241 Piedras Dr E No 111 San Antonio, TX 78228
Business / Home Office	8442 Raintree Woods Dr Fair Oaks Ranch, TX 780154437
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(210) 887-7627