DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Earls, Kellie Ann	DOIID	574167	NAIC NPN	5796893

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Adjuster	Independent
Inactive	Non Resident	Adjuster	Workers' Compensation	7/24/2008	10/15/2009
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/18/2003	11/17/2004
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	8/30/2010	5/31/2014
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	5/11/2012	7/16/2012

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hall, Janice Elaine	557739	Apprentice Adjuster - Not Applicable	11/18/2003	11/17/2004