DEPARTMENT OF INSURANCE

Affiliations

Name	Keil, Nicole M	DOIID	942337	NAIC NPN	17962451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	6/11/2024		3/31/2026
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	1/19/2017	3/31/2020
* 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 Catastrophe Services LLC	912275	Independent Adjuster - Property & Casualty	1/27/2017	3/31/2020