DEPARTMENT OF INSURANCE

Affiliations

Name	Clemons, Amberly Nichol	DOIID	746612	NAIC NPN	7332609

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	1/24/2011	2/28/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	6/14/2022		2/28/2026
* 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	2/1/2011	9/21/2021