DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Carrie Ann	DOIID	664293	NAIC NPN	6074350

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	1/31/2013	10/31/2022
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	9/19/2007	10/31/2014
* 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	Brentwood Serv Administrators Inc	397924	Administrator - Not Applicable	2/6/2013	9/21/2021