DEPARTMENT OF INSURANCE

Name	Fetchero, Michael Anthony	DOIID	513171	NAIC NPN	1152626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	3/23/2004	3/31/2020
Inactive	Non Resident	Agent	Casualty	3/23/2004	3/31/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/21/2006	3/31/2020

*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	Cbiz Insurance Services, Inc. 44 Baltimore StCumberland, MD 21502
Business / Home Office	Attn Agent/Broker Licensing Unit Cbiz Benefits & Insurance Services 44 Baltimore StCumberland, MD 215023026
Residence	Not Public Information
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.cbiz.com
Business Email	swhisler@cbiz.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(301) 697-2237