DEPARTMENT OF INSURANCE

Name	Modern Insurance LLC	DOIID	765168	NAIC NPN	14064708

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	Property	10/20/2011	3/28/2013
Inactive	Non Resident	Agent	Casualty	10/20/2011	3/28/2013

*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.

Address Information

Type	Address
Business / Home Office	15600 Sw 288 Street, Suite 404 Homestead, FL 33033

Phone Information

Type	Phone
Business / Home Office	(305) 248-9495