DEPARTMENT OF INSURANCE

Name	Olson, Ethan	DOIID	925851	NAIC NPN	16838484

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	2/10/2022		12/31/2024
Inactive	Non Resident	Agent	Casualty	8/23/2016	3/1/2017
Inactive	Non Resident	Agent	Property	8/23/2016	3/1/2017

*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	10/15/2024	12/31/2024

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
Residence	Not Public Information
Business / Home Office	478 Highway 370 Luttrell, TN 377792316

Phone Information

Type	Phone
Business / Home Office	(865) 722-7312