DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mobley, Annette M	DOIID	625909	NAIC NPN	8713802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	5/7/2007	12/20/2007
Denied	Resident	Apprentice Adjuster	Not Applicable
Pending Replacement	Non Resident	Independent Adjuster	Workers' Compensation	1/16/2018		9/30/2024
* 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	07/15/2024	09/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Adjuster - Independent	5/14/2007	11/13/2007

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mobley, Annette M	625909	Apprentice Adjuster - Not Applicable

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mobley, Annette M	625909	Apprentice Adjuster - Not Applicable