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DEPARTMENT OF INSURANCE
Course Attendance Information
PR01543: West Bend Mutual Insurance Company
Experior Provider Number:
S12353
Provider Type:
Company
Certification Date:
7/22/2010
Address:
1900 South 18th Avenue
West Bend, WI 53095
Contact:
David Lemke
Telephone:
262-365-2687
Status:
Active
Termination Date:
N/A
View Instructors
Course Attendees
Course Name :
ACORD Application Training (Classroom)
DOI ID
Name
Completion Date
Compliance Date
648034
Wilson, Kimberley Annette
07/14/2022
11/30/2022
1053589
Granville, Brooke S
07/14/2022
12/31/2023
394242
Heim, Fred J
07/14/2022
11/30/2022
1071796
Peacock, Karen
07/14/2022
08/31/2023
356794
Gies, Lorie Ann
07/14/2022
12/31/2022
1030429
Moncibaez, Stephanie
07/14/2022
12/31/2023
1115412
Merrill, Timothy B
07/14/2022
08/31/2023
1201492
Miller, Jennifer
07/14/2022
06/30/2024
1133748
Reyes Valdes, Pavel Vicente
07/14/2022
05/31/2024
1125753
Shelton, Devon Blake
07/14/2022
09/30/2023
1152155
Terry, Austin
07/14/2022
06/30/2024
1029702
Warner, Shaun
07/14/2022
08/31/2022
745800
Costales Cabrera, Liliana
07/14/2022
05/31/2024
1142371
Crawford, David Keith
07/14/2022
08/31/2022
991846
Evans, Danielle
07/14/2022
06/30/2024
329045
Green, Christopher J
07/14/2022
08/31/2022
629119
Hurley, Johnny R
07/14/2022
01/31/2024
767194
Dye, Joshua Ezekiel
07/14/2022
07/31/2022
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