black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK ALAN BALTUSKA

PRODUCER NON-RESIDENT

License Number:
PRN338268
Status:
First Licensure:
09/12/2019
Cancel Date:
None

Mailing:
STILWELL, KS 66085
Phone:
+1 (817) 727-7316
Fax:
+1 (877) 516-8203
Email:
licensing@statenational.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/12/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
STATE NATIONAL INSURANCE COMPANY INC.
10/24/2019 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 09/12/2019 Active
PROPERTY 09/12/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4906955

Other Addresses

Address Type
STILWELL, KS 66085
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/18/2025 02:29:43 PM