DEPARTMENT OF INSURANCE
Affiliations
NameMathis, Shelly DOIID307580NAIC NPN7159046
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdjusterIndependent11/20/19982/28/2009 
InactiveNon ResidentApprentice AdjusterNot Applicable3/4/199811/20/1998 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveState Farm Mutual Automobile Insurance Company301732Adjuster - Independent11/20/19982/28/2009
Sponsored By
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWagner, Larry A 373704Apprentice Adjuster - Not Applicable3/4/199811/20/1998

© Commonwealth of Kentucky. All rights reserved.