DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Kim A	DOIID	649451	NAIC NPN	8923345

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	12/31/2008	11/4/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Adjuster - Independent	1/7/2009	11/4/2009