DEPARTMENT OF INSURANCE

Name	Hursh, Mark Allen	DOIID	912944	NAIC NPN	2131005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Administrator	Not Applicable	4/15/2016	9/30/2023

*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
Residence	Not Public Information
Mailing	ESIS, Inc. 436 Walnut StreetPhiladelphia, PA 19106
Business / Home Office	ESIS, Inc. 436 Walnut StreetPhiladelphia, PA 19106

Internet Information

Type	Address
Business Email	mark.hursh@esis.com

Phone Information

Type	Phone
Business / Home Office	(215) 640-5148