DEPARTMENT OF INSURANCE

Affiliations

Name	Thavongsa, Sisavanh	DOIID	612985	NAIC NPN	8499987

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	8/23/2005	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	7/27/2005	8/23/2005
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		9/30/2027
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