DEPARTMENT OF INSURANCE

Name	Trivison, Delynn Dotherow	DOIID	622432	NAIC NPN	494991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	12/20/2005	9/30/2020
Inactive	Non Resident	Agent	Health	1/4/2018	9/30/2020
Inactive	Non Resident	Agent	Property	12/21/2011	9/30/2020
Inactive	Non Resident	Agent	Life	1/4/2018	9/30/2020

*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	199 Osceola Court Winter Park, FL 32789
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(561) 212-5580