DEPARTMENT OF INSURANCE

Name	Jaquez, Lisa Marie	DOIID	628421	NAIC NPN	3406017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Denied	Non Resident	Adjuster	Independent
Active	Non Resident	Independent Adjuster	Property & Casualty	11/8/2019		9/30/2026

*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
Independent Adjuster	07/15/2024	09/30/2024	07/12/2024	07/12/2024	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	8010 Roswell Rd Ste 200 Sandy Springs, GA 303503939
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(608) 327-5655