DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Piper-Lennon, Jacqueline Towns	DOIID	672619	NAIC NPN	10191295

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	1/22/2008	2/19/2008
Active	Non Resident	Independent Adjuster	Workers' Compensation	3/26/2013		11/30/2024
* 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	09/15/2024	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	12/18/2015
Inactive	Specialty Risk Services LLC	596363	Independent Adjuster - Workers' Compensation	2/12/2010	11/19/2012

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Williams, Tammy Dawn	327772	Apprentice Adjuster - Not Applicable	1/22/2008	2/19/2008