DEPARTMENT OF INSURANCE

Name	Gutierrez, Melissa D	DOIID	335040	NAIC NPN	1776623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/13/2018		4/30/2026
Active	Non Resident	Agent	Life	3/13/2018		4/30/2026
Active	Non Resident	Agent	Casualty	3/13/2018		4/30/2026
Active	Non Resident	Agent	Property	3/13/2018		4/30/2026
Denied	Non Resident	Managing General Agent	Not Applicable
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/13/2018	3/10/2021

*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	9730 Meadowbrook Ln Galena, OH 430219668
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(208) 593-1663