black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK D. KACZMAREK

PRODUCER NON-RESIDENT

License Number:
PRN117490
Status:
First Licensure:
09/01/2005
Cancel Date:
None

Mailing:
DUBUQUE, IA 52001
Phone:
+1 (608) 467-5029 x2029
Fax:
+1 (563) 583-7339
Email:
mkaczmarek@cottinghambutler.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/01/2005

Agency

Name Issue Date License Number Expiration Date Cancel Date
COTTINGHAM & BUTLER INSURANCE SERVICES LLC
02/14/2009 AGN130075
WILLIS LIFE INSURANCE AGENCY OF OHIO INC
09/01/2005 AGN80966 08/18/2006

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
08/02/2016 LHF804 10/13/2020
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
08/02/2016 LHF644 07/24/2025
MAINE DENTAL SERVICE CORP
04/05/2021 NPD29330
RED TREE INSURANCE COMPANY INC
04/29/2021 LHF174438

Authority

Description Issue Date Termination Date Status
HEALTH 09/01/2005 Active
LIFE 09/01/2005 Active
VARIABLE CONTRACTS 02/14/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1783809

Other Addresses

Address Type
800 MAIN ST
DUBUQUE, IA 52001-6822
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: 12/11/2025 11:12:37 PM