DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shattuck, Shannon Marie	DOIID	590835	NAIC NPN	2999851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	9/16/2004	2/13/2006
Inactive	Resident	Agent	Casualty	10/15/2004	2/13/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/30/2005	2/13/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	1/30/2005	2/13/2006
Inactive	Grange Insurance Company	300234	Agent - Casualty	1/30/2005	2/13/2006
Inactive	Grange Insurance Company	300234	Agent - Property	1/30/2005	2/13/2006
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	1/30/2005	2/13/2006
Inactive	Trustgard Insurance Company	300104	Agent - Property	1/30/2005	2/13/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stilz-Dugan Ins Inc.	399162	Agent - Casualty	1/30/2005	2/13/2006
Inactive	Stilz-Dugan Ins Inc.	399162	Agent - Property	1/30/2005	2/13/2006