DEPARTMENT OF INSURANCE

Affiliations

Name	Henry, Stacey Lynn	DOIID	366455	NAIC NPN	7198668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/21/1997	8/21/1998
Inactive	Resident	Independent Adjuster	Property & Casualty	12/17/2007	11/1/2014
* 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	Grange Insurance Company	300234	Independent Adjuster - Property & Casualty	9/9/1998	3/25/2002