DEPARTMENT OF INSURANCE

Name	Queen Street America LLC	DOIID	784102	NAIC NPN	16680955

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	6/14/2012	11/1/2014
Inactive	Non Resident	Agent	Life	6/14/2012	11/1/2014

*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.

Address Information

Type	Address
Business / Home Office	609 Wisteria Key Place Chapin, SC 29036

Internet Information

Type	Address
Business Email	Chrisweaver56@yahoo.com

Phone Information

Type	Phone
Business / Home Office	(214) 632-0173