DEPARTMENT OF INSURANCE

Name	Sands, Tiena M	DOIID	652391	NAIC NPN	9146917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	4/13/2007	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	3/26/2007	4/13/2007
Inactive	Resident	Staff Adjuster	Workers' Compensation	7/1/2010	4/30/2013

*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	The Hartford Central Wc Claim Center 4245 Meridian ParkwayAurora, IL 60504

Phone Information

Type	Phone
Business / Home Office	(877) 952-9222