DEPARTMENT OF INSURANCE

Name	Bofman, Lawrence David	DOIID	775038	NAIC NPN	3175503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/24/2022		12/31/2025
Inactive	Non Resident	Agent	Life	8/25/2016	12/31/2021
Inactive	Non Resident	Agent	Casualty	2/17/2012	12/31/2015
Inactive	Non Resident	Agent	Property	2/17/2012	12/31/2015

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

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	4028 E Friess Dr Phoenix, AZ 850325820
Residence	Not Public Information

Internet Information

Type	Address
Business Email	lawrence.bofman.235171@uhc.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(800) 547-5514