DEPARTMENT OF INSURANCE

Name	Francis, Tina	DOIID	1056347	NAIC NPN	19259989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	9/16/2019		11/30/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

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	9565 S Brandy Creek Dr Apt 107 Sandy, UT 840703259
Residence	Not Public Information

Internet Information

Type	Address
Business Email	tina_hiss@yahoo.com

Phone Information

Type	Phone
Business / Home Office	(801) 245-0171