DEPARTMENT OF INSURANCE

Name	Allen, Robert	DOIID	751554	NAIC NPN	312057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/16/2021		12/31/2025
Inactive	Non Resident	Agent	Life	4/6/2011	12/31/2013
Inactive	Non Resident	Agent	Casualty	4/6/2011	12/31/2013
Inactive	Non Resident	Agent	Property	4/6/2011	12/31/2013

*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	485 Ledgewood Dr Fond Du Lac, WI 549378193
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(920) 857-8347