DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kohlenberg, Sandra A	DOIID	305497	NAIC NPN	2297129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	8/5/1996	3/31/2009
Inactive	Non Resident	Independent Adjuster	Property & Casualty	11/5/2012	3/31/2017
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	11/9/2012	1/15/2015
Inactive	Infinity Standard Insurance Company	301643	Adjuster - Independent	8/5/1996	2/11/2002