DEPARTMENT OF INSURANCE

Name	Self-Directed Health LLC	DOIID	828386	NAIC NPN	17123326

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	Life	11/25/2013	3/31/2015
Inactive	Non Resident	Agent	Health	11/25/2013	3/31/2015

*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	2650 Mccormick Dr Clearwater, FL 33759

Phone Information

Type	Phone
Business / Home Office	(727) 216-0859