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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KIM MARIE FATZER

PRODUCER NON-RESIDENT

License Number:
PRN300664
Status:
First Licensure:
01/04/2018
Cancel Date:
None

Mailing:
KINNELON, NJ 07405
Phone:
+1 (973) 919-9949
Fax:
+1 (973) 909-7265
Email:
kimmermarie4@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/04/2018

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
01/04/2018 LHF100 02/10/2021
TRUSTMARK INSURANCE COMPANY
05/10/2025 LHF132

Authority

Description Issue Date Termination Date Status
HEALTH 01/04/2018 Active
LIFE 01/04/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17279371

Other Addresses

Address Type
KINNELON, NJ 07405
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: 10/09/2025 09:05:29 AM