DEPARTMENT OF INSURANCE

Name	Park, Erica Marie	DOIID	1035022	NAIC NPN	19069393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/25/2021	11/30/2023
Inactive	Non Resident	Agent	Personal Lines	4/2/2019	11/30/2023
Inactive	Non Resident	Agent	Casualty	6/25/2021	11/30/2023

*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	141 Rivers Edge Dr Ste 200 Traverse City, MI 496843299
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(231) 941-7477