DEPARTMENT OF INSURANCE

Name	Diaz, Shannon L	DOIID	740354	NAIC NPN	8559693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Limited Line Credit	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Travel	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Casualty	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Health	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Property	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Life	10/19/2010	9/30/2013

*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	91 Apothecaries Hall Rd Broad Brook, CT 060169738
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(860) 653-1100