DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Facen, Lisa Marie	DOIID	524573	NAIC NPN	4559560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/10/2001	1/31/2002
Inactive	Non Resident	Agent	Casualty	4/10/2001	1/31/2002
Inactive	Non Resident	Independent Adjuster	Property & Casualty	1/19/2016	9/30/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	California Casualty Indemnity Exchange	301153	Agent - Casualty	4/10/2001	1/31/2002
Inactive	California Casualty Indemnity Exchange	301153	Agent - Property	4/10/2001	1/31/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	7/27/2016	9/30/2019