DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Marsha Juanita	DOIID	308013	NAIC NPN	7159230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	1/22/1999	1/31/2005
Inactive	Non Resident	Agent	Life	9/27/2010	11/30/2020
Inactive	Non Resident	Agent	Health	9/27/2010	11/30/2020
Inactive	Non Resident	Agent	Property	9/27/2010	11/30/2020
Inactive	Non Resident	Agent	Casualty	9/27/2010	11/30/2020
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/18/1998	1/22/1999
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	9/30/2010	11/12/2018
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	9/30/2010	11/12/2018
Inactive	Nationwide General Insurance Company	300603	Agent - Property	9/30/2010	11/12/2018
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	11/12/2018
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	11/12/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	9/30/2010	11/12/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/30/2010	11/12/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/30/2010	11/12/2018
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	9/30/2010	11/12/2018
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	9/30/2010	11/12/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/30/2010	11/12/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	9/30/2010	11/12/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	9/30/2010	11/12/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	9/30/2010	11/12/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	9/30/2010	8/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	9/30/2010	8/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	1/22/1999	2/18/2002

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wagner, Larry A	373704	Apprentice Adjuster - Not Applicable	2/18/1998	1/22/1999