DEPARTMENT OF INSURANCE

Name	Johnson, Shamillia	DOIID	1115450	NAIC NPN	19736660

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	1/5/2021	6/30/2024
Pending Replacement	Non Resident	Agent	Property	1/5/2021	6/30/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	9/12/2022	6/30/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024
Staff Adjuster	04/15/2024	06/30/2024	04/04/2024	04/04/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	One Nationwide Plaza Columbus, OH 43215

Phone Information

Type	Phone
Business / Home Office	(833) 384-1266