DEPARTMENT OF INSURANCE

Name	Insurance Central	DOIID	509437	NAIC NPN	1904585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	5/25/2000	10/1/2012
Inactive	Non Resident	Agent	Life	5/25/2000	10/1/2012

*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	1155 Eugenia Place Carpinteria, CA 93013

Internet Information

Type	Address
Business Email	bweinberg@agia.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(805) 566-9191