DEPARTMENT OF INSURANCE

Name	Page, Timothy Wayne	DOIID	1140162	NAIC NPN	17816291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/17/2021	1/31/2025
Active	Non Resident	Agent	Health	3/8/2023	1/31/2025
Active	Non Resident	Agent	Life	3/8/2023	1/31/2025
Active	Non Resident	Agent	Property	6/17/2021	1/31/2025

*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	11/15/2024	01/31/2025

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	11537 Nc Highway 41 S Fairmont, NC 283408385
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(910) 374-5211