DEPARTMENT OF INSURANCE

Affiliations

Name	Leidy-Peterson, Mary Beth	DOIID	306841	NAIC NPN	3617876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	5/20/1997	3/31/2002
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	11/27/1996	5/20/1997
* 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	United Services Automobile Association	300158	Adjuster - Independent	5/20/1997	12/22/2000