DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Shellie Grace	DOIID	680167	NAIC NPN	10766905

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	12/12/2008	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/16/2008	12/12/2008
Active	Resident	Staff Adjuster	Property & Casualty	7/1/2010		11/30/2026
* 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
Staff Adjuster	09/15/2024	11/30/2024	06/11/2024	06/11/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	12/17/2008	7/1/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	7/1/2010

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fisher, Michael Douglas	333946	Apprentice Adjuster - Not Applicable	5/16/2008	12/12/2008