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 IDNameCompletion 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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