DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Amber Nichole	DOIID	1019158	NAIC NPN	18972271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Withdrawn	Non Resident	Independent Adjuster	Workers' Compensation
Inactive	Non Resident	Staff Adjuster	Workers' Compensation	9/19/2019	2/28/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charles Taylor TPA, LLC	401233	Staff Adjuster - Workers' Compensation	10/1/2019	1/8/2021