DEPARTMENT OF INSURANCE

Name	Black, Allison Hatfield	DOIID	359490	NAIC NPN	7195636

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	6/8/1999	3/21/2000
Inactive	Resident	Independent Adjuster	Property & Casualty	3/21/2000	5/16/2022
Active	Resident	Staff Adjuster	Property & Casualty	5/16/2022		6/30/2026

*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
Staff Adjuster	04/15/2024	06/30/2024	04/23/2024	04/23/2024	Yes

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	1025 Twelve Oaks Drive Lawrenceburg, KY 40342
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(610) 660-6873