DEPARTMENT OF INSURANCE

Name	L A Xcess Ins Brokers Inc	DOIID	568703	NAIC NPN	2111293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/3/2005	3/19/2019
Inactive	Non Resident	Agent	Life	3/3/2005	3/19/2019
Inactive	Non Resident	Agent	Property	4/22/2005	3/19/2019
Inactive	Non Resident	Agent	Casualty	4/22/2005	3/19/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/31/2007	3/19/2019

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

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	10474 Santa Monica Blvd Ste 306Los Angeles, CA 90025
Mailing	10474 Santa Monica Blvd Ste 306Los Angeles, CA 90025

Internet Information

Type	Address
Business Email	kwilson@mglconsulting.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(818) 623-5411