DEPARTMENT OF INSURANCE

Name	Revival Animal Health Insurance Agency LLC	DOIID	1265862	NAIC NPN	20664735

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	Casualty	3/31/2023		3/31/2027
Active	Non Resident	Agent	Property	3/31/2023		3/31/2027

*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	1700 Albany Place Se Orange City, IA 51041

Internet Information

Type	Address
Business Email	karenvb@revivalanimal.com

Phone Information

Type	Phone
Business / Home Office	(712) 737-5555