DEPARTMENT OF INSURANCE

Name	Betzold, Judy Arleen	DOIID	308452	NAIC NPN	7159425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Administrator	Not Applicable	2/21/1995	3/31/1997
Active	Non Resident	Independent Adjuster	Workers' Compensation	3/30/2010		10/31/2024	Kentucky

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	08/15/2024	10/31/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Brentwood Services Inc 104 Continental Pl Ste 200Brentwood, TN 370271010
Residence	Not Public Information

Internet Information

Type	Address
Business Email	judy.betzold@bwood.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(615) 263-1300