DEPARTMENT OF INSURANCE

Name	Disability Specialist Inc	DOIID	604106	NAIC NPN	686859

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	Health	9/15/2009	11/19/2021
Inactive	Non Resident	Agent	Life	9/15/2009	11/19/2021

*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.

Address Information

Type	Address
Business / Home Office	20055 Sw Pacific Hwy #203 Sherwood, OR 97140

Internet Information

Type	Address
Business Email	agregg@gotodsi.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(503) 620-1055