DEPARTMENT OF INSURANCE
Licensee Search Details
NameSelf, Sandra LynnDOIID357261NAIC NPN7194636
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAdjusterIndependent4/24/20092/7/2010  
InactiveResidentIndependent AdjusterProperty & Casualty3/1/20162/1/2019  
InactiveResidentIndependent AdjusterWorkers' Compensation3/1/20162/1/2019  
InactiveResidentStaff AdjusterWorkers' Compensation8/18/20101/31/2015  
*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
TypeAddress
ResidenceNot Public Information
Business / Home Office3001 Chamberlain Lane Ford Workers' Compensation KtpLouisville, KY 40241
Internet Information
TypeAddress
Business Emailsself3@ford.com
Internetmastiffsmom@gmail.com
Phone Information
TypePhone
Business / Home Office(502) 429-2587

© Commonwealth of Kentucky. All rights reserved.