DEPARTMENT OF INSURANCE

Name	Carlson, Judy Ann	DOIID	688463	NAIC NPN	11492172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Casualty	9/8/2008		4/30/2027
Active	Non Resident	Agent	Property	9/8/2008		4/30/2027

*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	Amica Mutual Insurance Company 100 Amica WayLincoln, RI 028651156
Residence	Not Public Information

Internet Information

Type	Address
Business Email	jcarlson@amica.com

Phone Information

Type	Phone
Business / Home Office	(800) 242-6422