DEPARTMENT OF INSURANCE

Name	Willoughby, Chadwick Alan	DOIID	696395	NAIC NPN	8780549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/30/2008		10/31/2025
Active	Non Resident	Agent	Casualty	12/30/2008		10/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/27/2014	10/31/2017

*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	1568 Union Ave Memphis, TN 381043700
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(901) 274-5424