DEPARTMENT OF INSURANCE
Licensee Search Details
NameChisholm, Chavis MontrellDOIID1338634NAIC NPN21009934
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentProperty5/3/2024 11/30/2025 
ActiveNon ResidentAgentCasualty5/3/2024 11/30/2025 
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
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 Office3632 Glenda Street Lithia Springs, GA 30122
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailchavchis@gmail.com
Phone Information
TypePhone
Business / Home Office(470) 506-7688

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