DEPARTMENT OF INSURANCE

Name	Kelly, Mark Patrick	DOIID	946525	NAIC NPN	18281459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Independent Adjuster	Property & Casualty	7/6/2023		11/30/2025	Texas
Inactive	Non Resident	Staff Adjuster	Property & Casualty	3/2/2017	6/27/2023

*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
Business / Home Office	6000 American Pkwy Madison, WI 53707

Phone Information

Type	Phone
Business / Home Office	(800) 692-6326