DEPARTMENT OF INSURANCE

Name	Peterson, Dennis Michael	DOIID	315813	NAIC NPN	284074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/5/1996	11/30/2004
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2004
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2004
Inactive	Non Resident	Agent	General Lines	9/5/1996	8/15/2000
Inactive	Non Resident	Agent	Health	9/5/1996	11/30/2004

*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
Residence	Not Public Information
Business / Home Office	1285 Rudy St Onalaska, WI 546508512