DEPARTMENT OF INSURANCE

Name	Petrusaitis, Lori A	DOIID	331558	NAIC NPN	233417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	4/1/1992	8/15/2000
Inactive	Non Resident	Agent	Life	7/31/2006	3/14/2011
Inactive	Non Resident	Agent	Casualty	5/10/2019	10/5/2023
Inactive	Non Resident	Agent	Property	5/10/2019	10/5/2023
Inactive	Non Resident	Agent	Health	5/10/2019	10/5/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/10/2019	9/1/2022

*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	Insureon 30 N La Salle St Ste 2500Chicago, IL 606022514
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(312) 690-4122