DEPARTMENT OF INSURANCE

Name	Clevidence Ins Services Inc	DOIID	931180	NAIC NPN	7527083

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	9/29/2016	3/31/2022
Inactive	Non Resident	Agent	Health	9/29/2016	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	3000 W. Macarthur Blvd. Suite# 320Santa Ana, CA 92704

Phone Information

Type	Phone
Business / Home Office	(714) 979-4023