DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lee, Tina Marie	DOIID	317683	NAIC NPN	6811035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/9/2010	9/30/2014
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	11/6/1997	11/9/1998
Active	Non Resident	Independent Adjuster	Workers' Compensation	1/31/2023		9/30/2026
Inactive	Non Resident	Independent Adjuster	Property & Casualty	7/30/2007	9/30/2022
* 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	Brentwood Serv Administrators Inc	397924	Administrator - Not Applicable	12/21/2010	1/15/2013
Inactive	Davies Claims Solutions, LLC	548339	Independent Adjuster - Property & Casualty	6/4/2015	9/30/2022

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rome, Judy L	364385	Apprentice Adjuster - Not Applicable	11/6/1997	11/9/1998