DEPARTMENT OF INSURANCE

Name	Belmonte, Mary Anne	DOIID	602752	NAIC NPN	7331854

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	Casualty	4/6/2015	4/30/2018
Inactive	Non Resident	Agent	Property	4/6/2015	4/30/2018

*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	25801 Lake Shore Blvd Apt 115 Euclid, OH 441321131
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.insurance.com

Phone Information

Type	Phone
Business / Home Office	(877) 776-2436