DEPARTMENT OF INSURANCE

Name	Carlucci, Diane	DOIID	1028759	NAIC NPN	7981122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/20/2022	10/31/2023
Inactive	Non Resident	Agent	Personal Lines	2/13/2019	10/31/2023
Inactive	Non Resident	Agent	Health	7/20/2022	10/31/2023

*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	Amica Mutual Insurance 2475 Village View Dr Ste 200Henderson, NV 890747174
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(503) 713-0396