DEPARTMENT OF INSURANCE

Name	Ortiz, Luis Rafael	DOIID	954619	NAIC NPN	18411007

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/19/2020		11/30/2027
Active	Non Resident	Agent	Health	6/19/2020		11/30/2027
Inactive	Non Resident	Agent	Personal Lines	5/17/2017	11/30/2019

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025	11/10/2025	11/10/2025	Yes

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

Type	Address
Residence	Not Public Information
Business / Home Office	6548 Sand Lake Sound Rd Orlando, FL 328197635

Internet Information

Type	Address
Business Email	LUISRORTIZ427@GMAIL.COM

Phone Information

Type	Phone
Business / Home Office	(407) 829-6622