DEPARTMENT OF INSURANCE

Name	Seegobin, Dennis	DOIID	1004421	NAIC NPN	18863786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Staff Adjuster	Property & Casualty	8/10/2018		12/31/2024

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	10/15/2024	12/31/2024

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	C/O Affinity Insurance Services Inc 900 Stewart AveGarden City, NY 115304869

Phone Information

Type	Phone
Business / Home Office	(516) 396-4378