DEPARTMENT OF INSURANCE

Affiliations

Name	Luiz, Marylou	DOIID	663686	NAIC NPN	3542950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	9/10/2007	12/31/2008
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	5/20/2009	12/31/2016
* 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	7/17/2012	4/1/2016