DEPARTMENT OF INSURANCE

Name	Nelson, David Chazz	DOIID	519839	NAIC NPN	7216004

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	4/30/2004	4/16/2009
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/5/2001	8/4/2001
Active	Non Resident	Staff Adjuster	Property & Casualty	11/23/2012		6/30/2026	Florida

*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	04/02/2024	04/02/2024	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	6640 Carothers Pkwy Ste 300 Franklin, TN 370676324
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(615) 788-2983