DEPARTMENT OF INSURANCE

Name	Bisazza, Beverly K	DOIID	582506	NAIC NPN	7570883

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Casualty	12/30/2011	12/31/2013
Inactive	Non Resident	Agent	Property	12/30/2011	12/31/2013

*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
Business / Home Office	Patriot Underwriters, Inc. 401 E Las Olas BlvdFort Lauderdale, FL 333012210
Residence	Not Public Information

Internet Information

Type	Address
Business Email	bev_bisazza@adp.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(484) 612-8157