DEPARTMENT OF INSURANCE

Name	Shafer, Frank Edward	DOIID	350409	NAIC NPN	1897340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	5/8/1992	12/31/2005
Inactive	Non Resident	Agent	Health	5/8/1992	12/31/2005

*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	1101 Kermit Drive Suite 700Nashville, TN 37217
Residence	Not Public Information
Mailing	8890 Highway 45 North Bethel Springs, TN 38315