DEPARTMENT OF INSURANCE

PR01619: Jack Schroeder & Associates
Experior Provider Number:	S15562
Provider Type:	Independent
Certification Date:	2/14/2012
Address:	3450 Packerland Dr De Pere, WI 54115
Contact:	Adam Wasmund
Telephone:	239-226-1800 EXT. 1805
Status:	Pending
Termination Date:	N/A