DEPARTMENT OF INSURANCE
Affiliations
NamePetersen, Tracy LynnDOIID384075NAIC NPN7206345
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdjusterIndependent2/15/20021/22/2009 
InactiveNon ResidentApprentice AdjusterNot Applicable9/12/19979/10/1998 
ActiveNon ResidentIndependent AdjusterProperty & Casualty7/19/2021 1/31/2025
ActiveNon ResidentIndependent AdjusterWorkers' Compensation7/19/2021 1/31/2025
InactiveNon ResidentStaff AdjusterProperty & Casualty4/3/20097/19/2021 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster11/15/202401/31/2025   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAig Claims Inc401148Staff Adjuster - Property & Casualty7/28/20107/19/2021
InactiveContinental Casualty Company301019Adjuster - Independent2/15/20021/22/2009
InactiveTravelers Casualty and Surety Company301067Adjuster - Independent9/10/199812/30/1999
Sponsorships
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAngle-Smith, Lynette Diane 537365Apprentice Adjuster - Not Applicable9/25/20013/8/2002
InactiveAprile, Lisa Lynn 547270Apprentice Adjuster - Not Applicable4/2/200210/10/2002
InactiveBehr, Julia 523278Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveBuenaventura, Isabel I 523962Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveBurns, William Henry 553699Apprentice Adjuster - Not Applicable7/19/20028/9/2002
InactiveCarney, Kathleen A 511168Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveCarroll, Jeffrey Sott 502603Apprentice Adjuster - Not Applicable2/8/20004/4/2000
DeniedCockrell, Helen Lynn 547271Apprentice Adjuster - Not Applicable  
InactiveCoklan, David H 526165Apprentice Adjuster - Not Applicable5/17/200111/13/2001
InactiveCrackel, Brian David 502634Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveCulpepper, Michelle 547269Apprentice Adjuster - Not Applicable6/6/20028/16/2002
InactiveDeaton, William Daniel 542943Apprentice Adjuster - Not Applicable1/2/20021/10/2002
InactiveDecker, Marianne T 539733Apprentice Adjuster - Not Applicable10/22/20013/8/2002
InactiveDella Terza, Carmen Patrick 502443Apprentice Adjuster - Not Applicable2/8/20003/16/2000
InactiveDonnell, Gary Edward 527526Apprentice Adjuster - Not Applicable6/19/200112/16/2001
InactiveDopp, Randall J 509442Apprentice Adjuster - Not Applicable6/30/20006/30/2001
InactiveDudley, Tasha Lamont 502456Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveElmore, Mary Rita 538984Apprentice Adjuster - Not Applicable10/5/20014/3/2002
InactiveEscamilla-Murillo, Esther 502475Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveEvers, Caroline A 511163Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveFeigl, Susan 545193Apprentice Adjuster - Not Applicable2/18/20025/24/2002
InactiveFeistamel, Kathleen 385366Apprentice Adjuster - Not Applicable12/6/199912/6/2000
InactiveFerguson, Cleopatra B 551992Apprentice Adjuster - Not Applicable6/20/20028/27/2002
InactiveFetzer, Kim Kathleen 502484Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveFields, Donald Keith 554509Apprentice Adjuster - Not Applicable8/7/200212/3/2002
InactiveFinlayson, Jeanette Yvonne 502487Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveGatson, Sharla L 511165Apprentice Adjuster - Not Applicable8/2/20002/2/2001
InactiveGipson, Scott Fitzgerald 511171Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveGranholm, James E 553795Apprentice Adjuster - Not Applicable7/22/200211/1/2002
InactiveHarris, Alexis Dana 547266Apprentice Adjuster - Not Applicable4/2/20029/14/2002
InactiveHart, Danny Ray 570223Apprentice Adjuster - Not Applicable6/12/20038/1/2003
InactiveHruska, Phillip J 553697Apprentice Adjuster - Not Applicable7/19/20029/10/2002
InactiveJackson, Leatrice Yavon 523279Apprentice Adjuster - Not Applicable4/6/200110/3/2001
InactiveKautz, Joseph M 511170Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveKeys, Susan 523280Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveKish, Gail Frances 524391Apprentice Adjuster - Not Applicable4/11/200110/8/2001
InactiveLeBeau, Beverly A 511173Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveLong, Gerald R 551709Apprentice Adjuster - Not Applicable6/13/20028/15/2002
InactiveLugo, Elena 523276Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveMathis, Darrell Dewayne 539612Apprentice Adjuster - Not Applicable10/19/20014/17/2002
InactiveMcGee, Norene P 511167Apprentice Adjuster - Not Applicable8/2/20002/2/2001
InactiveMichalak, Patsy A 523961Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveMonroe, Brenda Kay 545235Apprentice Adjuster - Not Applicable2/18/20023/8/2002
InactiveMoreno, Marilu 514516Apprentice Adjuster - Not Applicable9/27/20003/26/2001
InactiveNadwidney, Debra Lynn 524389Apprentice Adjuster - Not Applicable4/11/200110/8/2001
InactiveNorris, Kelly O'Donnell 511159Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveO'Sullivan, Gregory Michael 542942Apprentice Adjuster - Not Applicable1/2/20021/10/2002
InactiveOsborne, Marilyn Lynn 563125Apprentice Adjuster - Not Applicable1/15/20038/1/2003
InactivePaterson, Juana Tijerina 527524Apprentice Adjuster - Not Applicable6/19/200112/16/2001
InactivePojman, Stephanie Sue 533872Apprentice Adjuster - Not Applicable7/12/20019/25/2001
InactivePugh, Sylvia 511162Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveQuinn, Geraldine Ellen 523960Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveRahe, Joseph 537364Apprentice Adjuster - Not Applicable9/25/20013/12/2002
InactiveRende, Elizabeth Marie 514515Apprentice Adjuster - Not Applicable9/27/20003/26/2001
InactiveReynolds, Patrick Edward 524393Apprentice Adjuster - Not Applicable4/11/200110/8/2001
InactiveRobbin, Neil I 523277Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveRuane, Paul Francis 553698Apprentice Adjuster - Not Applicable7/19/200211/1/2002
InactiveScott, Nancy S 533627Apprentice Adjuster - Not Applicable7/10/200111/13/2001
InactiveShuja, Jahan A 512143Apprentice Adjuster - Not Applicable8/23/20002/19/2001
InactiveSimon, Robert Paul 533543Apprentice Adjuster - Not Applicable7/9/200111/13/2001
InactiveSinyard, Judy Marie 502320Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveSmith, Loretta Lee 511166Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveSmith, Tracy L 502330Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveSoldano, Joseph R 506775Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveStachewicz, Susan Lee 511169Apprentice Adjuster - Not Applicable8/2/20001/29/2001
InactiveStolte, Julie Ann 524392Apprentice Adjuster - Not Applicable4/11/200110/8/2001
InactiveSusic, Carla Jo 551707Apprentice Adjuster - Not Applicable6/13/200211/8/2002
InactiveThara, Mary K 535212Apprentice Adjuster - Not Applicable8/9/200111/27/2001
InactiveThompson, Maria Delisa 502366Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveTrejo, Julian Javier 535200Apprentice Adjuster - Not Applicable8/8/20019/25/2001
InactiveWhitley, Charles B 502403Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveWidder, Sandra L 502405Apprentice Adjuster - Not Applicable2/8/20002/8/2001
InactiveWilliams, Jennifer Marie 553701Apprentice Adjuster - Not Applicable7/17/200210/18/2002
InactiveWittkofski, Lori Ann 523963Apprentice Adjuster - Not Applicable3/31/20019/27/2001
InactiveWysong, Glenda Ann 553703Apprentice Adjuster - Not Applicable7/19/200210/18/2002
Sponsored By
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBiery, William F 314550Apprentice Adjuster - Not Applicable9/12/19979/10/1998

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