DEPARTMENT OF INSURANCE

Affiliations

Name	Urbina, Rolando Daniel	DOIID	1007903	NAIC NPN	18694622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/31/2018	3/31/2020
Inactive	Non Resident	Agent	Health	8/31/2018	3/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health