DEPARTMENT OF INSURANCE

Name	Bradshaw, Ida Marie	DOIID	613544	NAIC NPN	8452594

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	Life	8/8/2005	8/14/2006
Inactive	Non Resident	Agent	Health	8/8/2005	8/14/2006

*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
Residence	Not Public Information
Mailing	PO Box 1000 Salida, CO 81201
Business / Home Office	232 F Street PO Box 1000Salida, CO 81201

Internet Information

Type	Address
Business Email	info@eterm.com

Phone Information

Type	Phone
Business / Home Office	(888) 345-1133