DEPARTMENT OF INSURANCE

Name	Stovall, Thomas R	DOIID	340612	NAIC NPN	1474363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/18/2000	8/31/2005
Inactive	Non Resident	Agent	Health	5/6/1999	8/31/2005
Inactive	Non Resident	Agent	Life	5/6/1999	8/31/2005
Inactive	Non Resident	Agent	Casualty	9/18/2000	8/31/2005

*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	12354 South Western Avenue Blue Island, IL 60406
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(708) 396-0156