DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carmicle, Cynthia Leigh	DOIID	506713	NAIC NPN	7212374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	1/22/2013	2/28/2015
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/1/2000	3/1/2001
Active	Resident	Independent Adjuster	Property & Casualty	2/21/2001		2/28/2027
* 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	Independent Adjuster - Property & Casualty	1/18/2013	12/13/2013
Inactive	Brentwood Serv Administrators Inc	397924	Administrator - Not Applicable	1/22/2013	9/17/2013
Inactive	Frank Gates Service Co	401176	Independent Adjuster - Property & Casualty	5/9/2012	3/31/2015
Inactive	York Risk Services Group, Inc.	394847	Independent Adjuster - Property & Casualty	10/5/2012	3/31/2023

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cox, Tanya Michelle	691050	Apprentice Adjuster - Not Applicable	10/16/2008	10/16/2009

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hettinger, Alisa	338750	Apprentice Adjuster - Not Applicable	3/1/2000	3/1/2001