DEPARTMENT OF INSURANCE

Name	De Los Santos, Keyla Angeline	DOIID	996930	NAIC NPN	18663118

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	Health	6/6/2018	11/30/2020
Inactive	Non Resident	Agent	Life	6/6/2018	11/30/2020

*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
Business / Home Office	5069 Commander Drive 1126 Orlando, FL 32822

Phone Information

Type	Phone
Business / Home Office	(321) 961-0114