DEPARTMENT OF INSURANCE
Licensee Search Details
NameTillman, David DOIID1206485NAIC NPN20312421
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentProperty5/23/20222/28/2025  
InactiveNon ResidentAgentCasualty5/23/20222/28/2025  
*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
Business / Home Office4804 Laurel Canyon Blvd Ste 820 Valley Village, CA 916073717
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaildtilly2021@gmail.com
Phone Information
TypePhone
Business / Home Office(503) 201-9859

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