DEPARTMENT OF INSURANCE

Affiliations

Name	Belanger, Nicole	DOIID	813216	NAIC NPN	10263742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	6/26/2013	11/30/2014
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	10/3/2013	1/15/2015