DEPARTMENT OF INSURANCE
Licensee Search Details
NameCostello, Samuel DOIID789954NAIC NPN16765614
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
Pending ReplacementNon ResidentAgentCasualty8/29/2012 5/31/2024 
Pending ReplacementNon ResidentAgentHealth8/29/2012 5/31/2024 
Pending ReplacementNon ResidentAgentProperty8/29/2012 5/31/2024 
*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
TypeAddress
ResidenceNot Public Information
Business / Home OfficeConnect, Powered By American Family Insurance 3500 Packerland DrDe Pere, WI 541159034
Phone Information
TypePhone
Business / Home Office(920) 330-5191

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