DEPARTMENT OF INSURANCE

Name	Shaw, Justin Micah	DOIID	595135	NAIC NPN	8099884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2004	7/31/2027
Active	Non Resident	Agent	Casualty	9/8/2004	7/31/2027
Active	Non Resident	Agent	Property	9/8/2004	7/31/2027

*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	05/15/2025	07/31/2025	05/13/2025	05/13/2025	Yes

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	1700 W Reelfoot Ave Ste 264 Union City, TN 382615538
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(731) 885-0975