DEPARTMENT OF INSURANCE

Name	Champine, Alan J	DOIID	618872	NAIC NPN	7935067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/30/2005	10/31/2025
Active	Non Resident	Agent	Health	2/20/2013	10/31/2025
Active	Non Resident	Agent	Property	10/30/2005	10/31/2025

*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	2020 Innovation Court De Pere, WI 54115
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(920) 330-5303