DEPARTMENT OF INSURANCE

Name	Kwiatkowski, Mark Raymond	DOIID	325397	NAIC NPN	1888900

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	6/3/1999	7/8/1999
Inactive	Non Resident	Independent Adjuster	Property & Casualty	5/31/2001	7/1/2010
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		10/31/2024	Kentucky

*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	08/15/2024	10/31/2024

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	1755 North Brown Road Suite 400Lawrenceville, GA 30043

Phone Information

Type	Phone
Business / Home Office	(678) 332-5727