DEPARTMENT OF INSURANCE

Name	Moultrie, Kelly	DOIID	626184	NAIC NPN	516979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/15/2006	2/27/2006
Inactive	Resident	Independent Adjuster	Property & Casualty	2/27/2006	3/31/2012
Active	Non Resident	Staff Adjuster	Property & Casualty	5/12/2016		3/31/2026	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	State Farm Hq 1 State Farm PlzBloomington, IL 617100001
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(610) 358-8417