DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bohannon, Courtney Symone	DOIID	979616	NAIC NPN	18628586

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/18/2017	9/30/2021
Inactive	Non Resident	Agent	Casualty	12/18/2017	9/30/2021
Active	Non Resident	Independent Adjuster	Property & Casualty	5/26/2021		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/16/2018	12/11/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/16/2018	12/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Embrace Pet Ins LLC	723377	Agent - Casualty	8/16/2019	12/11/2019
Inactive	Embrace Pet Ins LLC	723377	Agent - Property	8/16/2019	12/11/2019
Active	PTZ Insurance Agency LTD	695420	Independent Adjuster - Property & Casualty	3/2/2023