DEPARTMENT OF INSURANCE

Name	Wise, Tracy E	DOIID	575701	NAIC NPN	7865363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Administrator	Not Applicable	8/15/2003	10/31/2009

*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. 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
Mailing	Healthscope Benefits 27 Corporate Hill DriveLittle Rock, AR 72205
Business / Home Office	Healthscope Benefits 27 Corporate Hill DriveLittle Rock, AR 72205

Phone Information

Type	Phone
Business / Home Office	(501) 225-1551