DEPARTMENT OF INSURANCE

Name	Walsh, Michael R	DOIID	593035	NAIC NPN	3121713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/6/2004	11/30/2023
Inactive	Non Resident	Agent	Property	8/6/2004	11/30/2023
Inactive	Non Resident	Agent	Personal Lines	8/6/2004	11/30/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/6/2004	11/30/2023

*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	12 Christopher Way Ste 201 Eatontown, NJ 077243331
Residence	Not Public Information

Internet Information

Type	Address
Business Email	quaker@3hcs.com

Phone Information

Type	Phone
Business / Home Office	(732) 223-6666