DEPARTMENT OF INSURANCE

Affiliations

Name	Sysavath, Jan	DOIID	665091	NAIC NPN	9657245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	11/13/2007	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	10/11/2007	11/13/2007
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		1/31/2028
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