DEPARTMENT OF INSURANCE

Name	Shield Risk Insurance Services LLC	DOIID	1066830	NAIC NPN	19312057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/3/2019	2/27/2020

*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	6233 Riverside Dr Ste 2s Dublin, OH 43017

Internet Information

Type	Address
Business Email	jerry@shieldriskservices.com

Phone Information

Type	Phone
Business / Home Office	(414) 881-2162