DEPARTMENT OF INSURANCE

Name	Graham, Timothy R	DOIID	591973	NAIC NPN	1916286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/16/2004	12/31/2005
Inactive	Non Resident	Agent	Property	7/16/2004	12/31/2005
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/2/2004	12/31/2005

*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
Business / Home Office	Mack and Parker, Inc 55 E Jackson BlvdChicago, IL 60604
Mailing	Mack and Parker, Inc 55 E Jackson BlvdChicago, IL 60604
Residence	Not Public Information

Internet Information

Type	Address
Business Email	tgraham@mackparker.com

Phone Information

Type	Phone
Business / Home Office	(312) 279-4633