DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lerose, Daniel	DOIID	821740	NAIC NPN	17001396

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Crop	9/25/2013	12/31/2016
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	4/7/2015	12/31/2016
Inactive	Non Resident	Independent Adjuster	Property & Casualty	2/9/2018	12/31/2022
* 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	Crawford & Company	401229	Independent Adjuster - Crop	9/27/2013	1/15/2015
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	9/27/2013	12/31/2016