Agency Information

GORDON D KIESGEN AGENCY INC

Address:

64 E GRAND AVE

FOX LAKE, IL 60020

Phone

847-587-6900

URL:

Email:

gkiesgen@amfam.com

National Producer Number:

7362262

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3699742	07/27/2021	Active	07/27/2021	07/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/27/2021	Active	07/27/2021
Health	07/27/2021	Active	07/27/2021
Life	07/27/2021	Active	07/27/2021
Property	07/27/2021	Active	07/27/2021

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	08/04/2021
	Property	Active	08/04/2021
1742
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY LIFE INSURANCE COMPANY	Life	Active	08/04/2021
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	08/04/2021
	Property	Active	08/04/2021
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	08/04/2021

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
GORDON D KIESGEN	Designated Resp Lic Prdcr	No	07/27/2021	-

1 - 1