black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHANNON LOUISE KOUTSOVALAS

PRODUCER NON-RESIDENT

License Number:
PRN363669
Status:
First Licensure:
10/03/2020
Cancel Date:
None

Mailing:
TUCSON, AZ 85711
Phone:
+1 (520) 513-3420
Fax:
+1 (305) 646-2614
Email:
shannon.koutsovalas@homeservices-ins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/03/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
LAKEVIEW HOUSEHOLD INSURANCE SOLUTIONS, LLC
10/03/2020 AGN336150

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE GENERAL INSURANCE COMPANY
10/18/2020 PCF30 02/08/2021
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
10/18/2020 PCF31 02/08/2021
NATIONWIDE MUTUAL INSURANCE COMPANY
10/18/2020 PCF32 02/08/2021
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
10/18/2020 PCF151089 02/08/2021

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 10/03/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18066442

Other Addresses

Address Type
TUCSON, AZ 85711
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: 11/17/2025 06:05:40 AM