DEPARTMENT OF INSURANCE

Name	Elite Brokerage Services, Inc.	DOIID	587536	NAIC NPN	957410

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	4/5/2004	3/31/2016
Inactive	Non Resident	Agent	Life	4/5/2004	3/31/2016

*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	5 Great Valley Parkway Suite 355Malvern, PA 19355
Mailing	5 Great Valley Parkway Suite 355Malvern, PA 19355

Internet Information

Type	Address
Internet	www.eliteunderwriting.com

Phone Information

Type	Phone
Business / Home Office	(610) 280-4325