DEPARTMENT OF INSURANCE

Name	Ellis, Deborah K	DOIID	389221	NAIC NPN	7208580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	6/10/1999	6/10/2000
Inactive	Resident	Independent Adjuster	Property & Casualty	5/17/2007	7/1/2010
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	10/31/2011

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

No License Renewal Information

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
Residence	Not Public Information
Business / Home Office	American Modern Insurance Group 7000 Midland BlvdAmelia, OH 45102
Mailing	2866a Lindale Mt Holly Rd Amelia, OH 45102

Internet Information

Type	Address
Business Email	dellis@amig.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(513) 947-5402