black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ELIZABETH JOLENE GILLIAM

PRODUCER NON-RESIDENT

License Number:
PRN527117
Status:
First Licensure:
09/13/2025
Cancel Date:
None

Mailing:
LAFAYETTE, IN 47904
Phone:
+1 (317) 296-2669
Fax:
+1 (317) 296-2669
Email:
liz.gilliamdouglas@americanfidelity.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/13/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FIDELITY ASSURANCE COMPANY
09/13/2025 LHF47862

Authority

Description Issue Date Termination Date Status
HEALTH 09/13/2025 Active
LIFE 09/13/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7443195

Other Addresses

Address Type
LAFAYETTE, IN 47904
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/22/2025 01:09:49 AM