DEPARTMENT OF INSURANCE

Affiliations

Name	Old Town Ins And Financial Services	DOIID	841167	NAIC NPN	17043901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/20/2014	3/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shepard, Gilbert Vincent	840816	Agent - Life	5/21/2014	3/31/2016