DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Mary Ellen	DOIID	984829	NAIC NPN	18700216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/16/2018	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	Affinity Insurance Services, Inc.	396178	Staff Adjuster - Property & Casualty	1/9/2019	3/31/2020