DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Jan C	DOIID	323140	NAIC NPN	7169258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	3/15/2006	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	9/10/1996	9/10/1997
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	11/21/2014
* 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	Lumbermens Mutual Casualty Company	301119	Adjuster - Independent	9/24/1997	5/31/2003

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Williams, Alan R	359179	Apprentice Adjuster - Not Applicable	9/10/1996	9/10/1997