DEPARTMENT OF INSURANCE

Name	Thompson, Mark John	DOIID	595408	NAIC NPN	7990786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	11/30/2009		1/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	9/14/2004		1/31/2025

*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
Administrator	11/15/2024	01/31/2025
Independent Adjuster	11/15/2024	01/31/2025

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	American Specialty Ins & Risk Services 7609 W Jefferson Blvd Ste 150Fort Wayne, IN 468049902
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.amerspec.com

Phone Information

Type	Phone
Business / Home Office	(260) 672-8800