DEPARTMENT OF INSURANCE

Name	Kelly, Kathy Marie	DOIID	608859	NAIC NPN	3576999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Independent Adjuster	Property & Casualty	7/24/2006		5/31/2025	Florida

*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	Broadspire Services, Inc. 1 Corporate Dr Ste 120Lake Zurich, IL 600478945
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(224) 278-9402