DEPARTMENT OF INSURANCE

Name	Upchurch Assurance Group LLC	DOIID	1028797	NAIC NPN	19043475

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	2/15/2019	3/31/2021
Inactive	Non Resident	Agent	Life	2/15/2019	3/31/2021

*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	303 Sunnyside Street Kenton, TN 38233

Internet Information

Type	Address
Business Email	wdupchurch@gmail.com

Phone Information

Type	Phone
Business / Home Office	(731) 446-7586