DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dase, Carrie Ann	DOIID	604181	NAIC NPN	8406918

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/19/2005	6/30/2009
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/2/2005	4/19/2005
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/1/2013	6/30/2019
* 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	State Farm Fire and Casualty Company	301809	Adjuster - Independent	7/17/2007	6/30/2009

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gough, David Ray	592666	Apprentice Adjuster - Not Applicable	3/2/2005	4/19/2005