DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Samantha Paige	DOIID	1266682	NAIC NPN	20670686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	4/4/2023	4/3/2024
Active	Resident	Independent Adjuster	Workers' Compensation	4/23/2024		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	03/15/2026	05/31/2026