DEPARTMENT OF INSURANCE

Name	Rosen, David	DOIID	1085807	NAIC NPN	66294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/9/2020	10/31/2025
Active	Non Resident	Agent	Property	6/9/2020	10/31/2025
Denied	Non Resident	Surplus Lines Broker	Not Applicable

*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	11 Robinhood Rd Pound Ridge, NY 10576
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(732) 786-5150