DEPARTMENT OF INSURANCE

Name	Kinzer, Kelly Jane	DOIID	895680	NAIC NPN	16435733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	10/15/2015	11/4/2019
Inactive	Non Resident	Agent	Casualty	10/15/2015	11/4/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/21/2015	11/4/2019

*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	2860 Gale Rd Wayzata, MN 553912624
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(612) 799-7540