DEPARTMENT OF INSURANCE

Name	Smith, Angelita Denise	DOIID	687401	NAIC NPN	11015088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	8/19/2008	11/30/2012
Active	Non Resident	Staff Adjuster	Property & Casualty	2/21/2019		11/30/2026

*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	09/15/2024	11/30/2024	11/12/2024	11/12/2024	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	6300 Wilson Mills Rd Mayfield Village, OH 441432109
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(440) 910-7848