DEPARTMENT OF INSURANCE

Name	Borgstrom, Debra Ann	DOIID	587129	NAIC NPN	7973200

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	4/29/2004	5/3/2006

*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
Business / Home Office	Specialty Risk Services 3800 American Blvd W #680 PO Box 20220Bloomington, MN 55431
Mailing	7775 Village Street Chanhassen, MN 55317
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(952) 656-6309