DEPARTMENT OF INSURANCE

Name	Shields, Timothy Edmond	DOIID	336437	NAIC NPN	1470706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/22/1989	4/30/2007
Inactive	Resident	Agent	Casualty	8/15/2000	4/20/2007
Inactive	Resident	Agent	Property	8/15/2000	4/20/2007
Inactive	Resident	Agent	Life	6/22/1989	4/30/2007
Inactive	Resident	Agent	Health Maintenance Organization	7/24/1996	3/1/2001
Inactive	Resident	Agent	General Lines	1/6/1995	8/15/2000

*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
Residence	Not Public Information
Business / Home Office	3257 New Orleans Court Edgewood, KY 41017