DEPARTMENT OF INSURANCE
Licensee Search Details
NameKofalt, Mark TDOIID366693NAIC NPN1713316
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth9/25/1997 4/30/2026 
ActiveNon ResidentAgentCasualty7/5/2006 4/30/2026 
ActiveNon ResidentAgentProperty7/5/2006 4/30/2026 
ActiveNon ResidentAgentLife9/25/1997 4/30/2026 
*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
TypeAddress
Business / Home OfficeP.S.I.S. P.O. Box 343Batavia, OH 45103
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailmark@getpremierinsurance.com
Phone Information
TypePhone
Business / Home Office(513) 943-4560

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