DEPARTMENT OF INSURANCE

Name	Kiesewetter, Shane Christopher	DOIID	650572	NAIC NPN	9114129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Workers' Compensation	12/8/2008	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	7/23/2007	7/21/2008
Active	Non Resident	Staff Adjuster	Workers' Compensation	7/1/2010		8/31/2025	Texas

*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	4500 N Prospect Rd Ste 201 Peoria Heights, IL 616166582
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(309) 621-7121