DEPARTMENT OF INSURANCE

Name	Dishman, Shawn Thomas	DOIID	1065464	NAIC NPN	19349389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	11/21/2019	3/31/2025
Active	Resident	Agent	Casualty	11/21/2019	3/31/2025
Active	Resident	Agent	Health	12/19/2019	3/31/2025
Active	Resident	Agent	Life	12/19/2019	3/31/2025

*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. 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
Business / Home Office	100 Access Dr Monticello, KY 426332079
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 753-0224