DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Lisa	DOIID	611283	NAIC NPN	8170740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	7/27/2005	4/24/2008
Active	Non Resident	Independent Adjuster	Property & Casualty	8/10/2018		7/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/17/2011	7/31/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	05/15/2024	07/31/2024	06/12/2024	06/12/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amtrust North America Inc	581977	Independent Adjuster - Property & Casualty	4/8/2021