DEPARTMENT OF INSURANCE

Name	Certisure Inc	DOIID	916062	NAIC NPN	8096395

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/23/2016	3/31/2022
Inactive	Non Resident	Agent	Casualty	5/23/2016	3/31/2022
Inactive	Non Resident	Agent	Health	5/23/2016	3/31/2022
Inactive	Non Resident	Agent	Property	5/23/2016	3/31/2022

*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	1801 Hobbs Road Auburndale, FL 33823

Phone Information

Type	Phone
Business / Home Office	(863) 293-4653