DEPARTMENT OF INSURANCE

Name	Glass, Daniel J	DOIID	753934	NAIC NPN	16218218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2023		4/30/2025
Inactive	Non Resident	Agent	Personal Lines	5/9/2011	4/30/2015
Inactive	Non Resident	Agent	Life	12/30/2015	4/30/2017

*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	1814 Osprey Ln Lutz, FL 335494184
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(813) 416-6110