DEPARTMENT OF INSURANCE

Name	Shepherd, David P.	DOIID	504321	NAIC NPN	1030324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		10/31/2025
Active	Non Resident	Agent	Life	12/30/2002		10/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		10/31/2025
Active	Non Resident	Agent	Health	12/30/2002		10/31/2025
Inactive	Non Resident	Agent	General Lines	7/10/2000	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	111 Congressional Blvd Ste 200 Carmel, IN 460325661

Phone Information

Type	Phone
Business / Home Office	(317) 846-5554