DEPARTMENT OF INSURANCE

Name	Sursa, Adam Wade	DOIID	731966	NAIC NPN	2146461

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/4/2022		11/30/2025
Active	Non Resident	Agent	Life	4/4/2022		11/30/2025
Inactive	Non Resident	Agent	Property	7/9/2010	11/30/2011
Inactive	Non Resident	Agent	Casualty	7/9/2010	11/30/2011

*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	Tri-Star Senior Advisors, Inc. 214 Ellis AveMaryville, TN 378045911
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(866) 212-9944