DEPARTMENT OF INSURANCE
Affiliations
NameBalzraine, John CarlDOIID1058193NAIC NPN3693959
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentIndependent AdjusterProperty & Casualty9/27/2019 4/30/2028
ActiveNon ResidentIndependent AdjusterWorkers' Compensation9/27/2019 4/30/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster02/15/202604/30/202603/11/202603/11/2026Yes
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBrentwood Serv Administrators Inc397924Independent Adjuster - Workers' Compensation10/8/2019 
ActiveBrentwood Serv Administrators Inc397924Independent Adjuster - Property & Casualty10/8/2019 

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