black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TERRI SHACKELFORD

PRODUCER NON-RESIDENT

License Number:
PRN508244
Status:
First Licensure:
02/19/2025
Cancel Date:
None

Mailing:
KINGMAN, AZ 86401
Phone:
+1 (760) 213-7887
Fax:
+1 (760) 213-7887
Email:
tshack1011@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/19/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL GENERAL INSURANCE MARKETING INC
02/27/2025 AGN43510

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
08/13/2025 PCF864 05/22/2026
ALLSTATE INDEMNITY COMPANY
08/13/2025 PCF522 05/22/2026
ALLSTATE INSURANCE COMPANY
08/13/2025 PCF354 05/22/2026
ALLSTATE NORTH AMERICAN INSURANCE COMPANY
09/23/2025 PCF401026 05/22/2026
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
08/13/2025 PCF84066 05/22/2026
HOMESITE INSURANCE COMPANY OF THE MIDWEST
06/01/2026 PCF116371
INTEGON PREFERRED INSURANCE COMPANY
09/04/2025 PCF873
MIDVALE INDEMNITY COMPANY
06/01/2026 PCF79410

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 02/19/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21473326

Other Addresses

Address Type
KINGMAN, AZ 86401
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: 07/01/2026 04:24:12 PM