DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, Jeanette Lynn	DOIID	921887	NAIC NPN	17936754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	7/21/2016	9/30/2019
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Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Independent Adjuster - Property & Casualty	7/17/2017	8/27/2018