DEPARTMENT OF INSURANCE
Licensee Search Details
NameCarlson, Shannon MichelleDOIID680829NAIC NPN9893724
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth3/6/2024 11/30/2025 
InactiveNon ResidentAgentLife5/16/200811/30/2011  
*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
TypeAddress
ResidenceNot Public Information
Business / Home Office1226 Jeffery Dr Port Orange, FL 321297430
Phone Information
TypePhone
Business / Home Office(812) 650-5807

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