DEPARTMENT OF INSURANCE
Licensee Search Details
NameEllis, Tibisay DOIID1192785NAIC NPN17073949
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife5/9/2025 10/31/2026 
ActiveNon ResidentAgentHealth3/10/2022 10/31/2026 
*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
TypeAddress
Business / Home Office20224 Camino Torcido Loop North Fort Myers, FL 339178148
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaillicensing@gohealth.com
Phone Information
TypePhone
Business / Home Office(855) 448-3386

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