DEPARTMENT OF INSURANCE
Affiliations
NameKeys, Susan DOIID523280NAIC NPN7216854
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdjusterIndependent6/6/20014/19/2005 
InactiveNon ResidentApprentice AdjusterNot Applicable3/31/20019/27/2001 
ActiveNon ResidentIndependent AdjusterWorkers' Compensation9/1/2015 8/31/2025
ActiveNon ResidentIndependent AdjusterProperty & Casualty9/1/2015 8/31/2025
* 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 Adjuster06/15/202508/31/2025   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCNA Claimplus, Inc569456Adjuster - Independent5/13/20034/19/2005
InactiveContinental Casualty Company301019Adjuster - Independent6/6/20014/19/2005
Sponsored By
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePetersen, Tracy Lynn 384075Apprentice Adjuster - Not Applicable3/31/20019/27/2001

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