DEPARTMENT OF INSURANCE

Name	Stahley, Jeremy John	DOIID	517526	NAIC NPN	7215480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Adjuster	Independent	10/26/2004	4/27/2007
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	11/3/2000	5/2/2001

*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	Liberty Mutual 11611 N. Meridian St. Suite 500Carmel, IN 46032
Mailing	4140 Bay Leaf Cir Indianapolis, IN 46237

Internet Information

Type	Address
Business Email	jeremy.stahley@libertymutual.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(317) 582-1700