DEPARTMENT OF INSURANCE

Affiliations

Name	Balis, Barb J	DOIID	343110	NAIC NPN	3580039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	12/15/1998	11/30/2008
* 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	Atlantic Mutual Insurance Company	300977	Adjuster - Independent	12/15/1998	11/30/2008
Inactive	Atlantic Risk Services, Inc	518406	Adjuster - Independent	8/20/1999	11/30/2008